Shoubin Yu, L. AC. O.M.D.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

17258 Issued in CA

Practice address

530 E Los Angeles Ave
Ste 104
Moorpark, CA 93021-2081

Phone

(805) 777-8491

Fax

(805) 523-8555

NPI assigned

Sep 28, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Yu Dayi Chinese Medicine Inc.

  • Acupuncturist
  • Moorpark, CA
  • NPI 1477094266
  NPD (past) Authorized official

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1063961258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E LOS ANGELES AVE",
            "address_2": "STE 104",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212081",
            "telephone_number": "805-777-8491",
            "fax_number": "805-523-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E LOS ANGELES AVE",
            "address_2": "STE 104",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212081",
            "telephone_number": "805-777-8491",
            "fax_number": "805-523-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "SHOUBIN",
        "credential": "L. AC. O.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "17258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xcel Physical Therapy & Wellness Center PC
• Xcelerate Physical Therapy Inc.
• Jeffrey Yokomizo, LMFT
• Ayhan Yoruk, MD
• Yu Dayi Chinese Medicine Inc.
• Christine Lee Zacha, LMFT
• Zachary L Potts DDS Incorporated (Moorpark Center for Dentistry)
• Angela Zapata
• Thinmar Zaw

• Acupuncturist in Moorpark, CA
• Providers in Moorpark, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.