Active NPI
Andrea Jang, DAOM, L.AC.
- Acupuncturist
- San Francisco, CA
National Provider Identifier
1053755256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 15159
- Practice address
- 582 Market St
Suite 612
San Francisco, CA 94104-5301 - Phone
- (415) 496-5264
- NPI assigned
- Apr 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 15159 | CA | Primary |
Addresses
Primary practice location
582 Market St
Suite 612
San Francisco, CA 94104-5301
Mailing address
582 Market St
Suite 612
San Francisco, CA 94104-5301
Phone (415) 496-5264
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15159 | CA | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1053755256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "582 MARKET ST",
"address_2": "SUITE 612",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941045301",
"telephone_number": "415-496-5264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "582 MARKET ST",
"address_2": "SUITE 612",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941045301",
"telephone_number": "415-496-5264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANG",
"first_name": "ANDREA",
"name_prefix": "Dr.",
"credential": "DAOM, L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-18",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "15159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.