Active NPI
Jesse W.S Tung, LAC
- Acupuncturist
- Temecula, CA
National Provider Identifier
1063774768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 14750
- Practice address
- 27473 Yenz Rd.
Temecula, CA 92591-4612 - Phone
- (951) 695-7314
- NPI assigned
- Jun 9, 2012
- Last updated
- Feb 2, 2017
- Sex
- Male
- 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 | 14750 | CA | Primary |
Addresses
Primary practice location
27473 Yenz Rd.
Temecula, CA 92591-4612
Mailing address
27473 Ynez Rd
Temecula, CA 92591-4612
Phone (951) 695-7314
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 |
|---|---|---|---|
| 14750 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485993600000",
"number": "1063774768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27473 YNEZ RD",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925914612",
"telephone_number": "951-695-7314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27473 YENZ RD.",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925914612",
"telephone_number": "951-695-7314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUNG",
"first_name": "JESSE",
"middle_name": "W.S",
"name_prefix": "Mr.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-09",
"last_updated": "2017-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "14750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.