Active NPI
Pacific Total Health Acupuncture, Inc.
- Acupuncturist
- Tustin, CA
National Provider Identifier
1053646240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC12355
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Tustin, CA
- NPI 1205123767
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.