Individual provider Active NPI

Xuehong Fan

  • Acupuncturist
  • Cupertino, CA
National Provider Identifier
1043013634
Registry record updated Mar 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
6717205
Practice address
10011 N Foothill Blvd Ste 110
Cupertino, CA 95014-5649
Phone
(669) 250-1555
NPI assigned
Mar 29, 2025
Last updated
Mar 29, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 6717205 Primary

Addresses

Primary practice location

10011 N Foothill Blvd Ste 110
Cupertino, CA 95014-5649

Mailing address

10011 N Foothill Blvd Ste 110
Cupertino, CA 95014-5649
Phone (669) 250-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Qisclinic Health Group Acupuncturist CurrentSince Mar 30, 2025 Accepting new patients
Qi's Clinic Acupuncturist CurrentSince Mar 30, 2025 Accepting new patients

Locations

10011 N Foothill Blvd
Ste 110
Cupertino, CA 95014
Phone (415) 830-2956

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743206400000",
    "number": "1043013634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10011 N FOOTHILL BLVD STE 110",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950145649",
            "telephone_number": "669-250-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 N FOOTHILL BLVD STE 110",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950145649",
            "telephone_number": "669-250-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAN",
        "first_name": "XUEHONG",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-03-29",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": "6717205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.