Individual provider Active NPI

Qingli Zhang

  • Acupuncturist
  • San Jose, CA
National Provider Identifier
1063243632
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC19565 Issued in CA
Practice address
1818 Tully Rd Ste 102
San Jose, CA 95122-1887
Phone
(408) 270-7329
NPI assigned
Aug 13, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC19565 CA Primary

Addresses

Primary practice location

1818 Tully Rd Ste 102
San Jose, CA 95122-1887

Mailing address

1818 Tully Rd Ste 102
San Jose, CA 95122-1887

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

LicenseStateTypeSpecialty
AC19565CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Da de Heng Sheng Guo Yao Hang Inc Acupuncturist CurrentSince Aug 18, 2024 Accepting new patients

Locations

1818 Tully Rd
Ste 102
San Jose, CA 95122
Phone (408) 270-7329

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1063243632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 TULLY RD STE 102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 TULLY RD STE 102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221887",
            "telephone_number": "408-270-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "QINGLI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC19565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.