Active NPI
Annie Jiaying Wu, L.AC.
- Acupuncturist
- Tustin, CA
National Provider Identifier
1063739712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 13586
- Practice address
- 1076 E 1St St Ste G
Tustin, CA 92780-3852 - Phone
- (714) 902-9112
- NPI assigned
- Apr 21, 2010
- 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 | 13586 | CA | Primary |
Addresses
Primary practice location
1076 E 1St St Ste G
Tustin, CA 92780-3852
Mailing address
1076 E 1St St Ste G
Tustin, CA 92780-3852
Phone (714) 902-9112
Other practice location 1
18710 Amar Rd
Suite C
Walnut, CA 91789-4571
Phone (626) 839-8578
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 |
|---|---|---|---|
| 13586 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walnut Natural Health Center | Acupuncturist | Past | Accepting new patients |
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": "1271808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570838400000",
"number": "1063739712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1076 E 1ST ST STE G",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803852",
"telephone_number": "714-902-9112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1076 E 1ST ST STE G",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803852",
"telephone_number": "714-902-9112"
}
],
"practiceLocations": [
{
"address_1": "18710 Amar Rd",
"address_2": "Suite C",
"address_purpose": "LOCATION",
"city": "Walnut",
"state": "CA",
"postal_code": "917894571",
"country_code": "US",
"telephone_number": "626-839-8578",
"fax_number": "626-839-7001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WU",
"first_name": "ANNIE",
"middle_name": "JIAYING",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-21",
"last_updated": "2019-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "13586",
"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 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.