Organization Active NPI

Pacific Total Health Acupuncture, Inc.

  • Acupuncturist
  • Tustin, CA
National Provider Identifier
1053646240
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC12355 Issued in CA
Legal business name
PACIFIC TOTAL HEALTH ACUPUNCTURE, INC.
Practice address
2512 Walnut Ave
Suite 4
Tustin, CA 92780-6944
Phone
(949) 461-9594
NPI assigned
Oct 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Authorized official

Name
Mrs. Siyuan Tang, LAC
Title
President & Ceo
Phone
(949) 228-4481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC12355 CA Primary

Addresses

Primary practice location

2512 Walnut Ave
Suite 4
Tustin, CA 92780-6944

Mailing address

22431 Taranto
Laguna Hills, CA 92653-1917
Phone (949) 461-9594

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1053646240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22431 TARANTO",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531917",
            "telephone_number": "949-461-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 WALNUT AVE",
            "address_2": "SUITE 4",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806944",
            "telephone_number": "949-461-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC TOTAL HEALTH ACUPUNCTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "SIYUAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "949-228-4481",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.