Organization Active NPI

Equilbrate Acupuncture

  • Clinic/Center
  • Tracy, CA
National Provider Identifier
1063290591
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EQUILBRATE ACUPUNCTURE
Practice address
1451 W 11TH St
Tracy, CA 95376-3733
Phone
(650) 784-8422
NPI assigned
Sep 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Dr. Lanie Quan, LAC
Title
Owner
Phone
(650) 784-8422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1451 W 11TH St
Tracy, CA 95376-3733

Mailing address

2181 N.Tracy Blvd, Suite 247
Suite 247
Tracy, CA 95376
Phone (165) 078-4842

National Provider Directory

National Provider Directory

Locations

1451 W 11th St
Tracy, CA 95376
Phone (650) 784-8422

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1063290591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2181 N.TRACY BLVD, SUITE 247",
            "address_2": "SUITE 247",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "95376",
            "telephone_number": "165-078-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 W 11TH ST",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763733",
            "telephone_number": "650-784-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILBRATE ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-16",
        "status": "A",
        "authorized_official_last_name": "QUAN",
        "authorized_official_first_name": "LANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-784-8422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.