Organization Active NPI

Three Lotus Dragon Acupuncture Wellness Center PC

  • Acupuncturist
  • San Mateo, CA
National Provider Identifier
1063717254
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
14050 Issued in CA
Legal business name
THREE LOTUS DRAGON ACUPUNCTURE WELLNESS CENTER PC
Practice address
215 N San Mateo Dr Ste 2
San Mateo, CA 94401-2674
Phone
(650) 980-5088
Fax
(800) 886-4813
NPI assigned
Jan 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Authorized official

Name
Dr. Jame'E Brazie'R, L.A.C DAOM
Title
President
Phone
(650) 980-5088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X 14050 CA Primary

Addresses

Primary practice location

215 N San Mateo Dr Ste 2
San Mateo, CA 94401-2674

Mailing address

215 N San Mateo Dr Ste 2
San Mateo, CA 94401-2674
Phone (650) 980-5088

Other names 1

  • Dr. Jame'e Brazie'r L.A.c. DAOM Doing business as

National Provider Directory

National Provider Directory

Locations

215 N San Mateo Dr
Ste 2
San Mateo, CA 94401
Phone (650) 342-4900

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1063717254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N SAN MATEO DR STE 2",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012674",
            "telephone_number": "650-980-5088",
            "fax_number": "800-886-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N SAN MATEO DR STE 2",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012674",
            "telephone_number": "650-980-5088",
            "fax_number": "800-886-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE LOTUS DRAGON ACUPUNCTURE WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "BRAZIE'R",
        "authorized_official_first_name": "JAME'E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-980-5088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.A.C DAOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "14050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Jame'e Brazie'r L.A.c. DAOM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.