Individual provider Active NPI

Runsheng Wang

  • Acupuncturist
  • Newport Beach, CA
National Provider Identifier
1073161428
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC17856 Issued in CA
Practice address
1601 Dove St Ste 240
Newport Beach, CA 92660-2411
Phone
(949) 932-0998
Fax
(949) 932-0998
NPI assigned
Aug 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC17856 CA Primary

Addresses

Primary practice location

1601 Dove St Ste 240
Newport Beach, CA 92660-2411

Mailing address

1601 Dove St Ste 240
Newport Beach, CA 92660-2411
Phone (949) 932-0998

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

LicenseStateTypeSpecialty
AC17856CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Microcosmos Acupuncture, Inc. Acupuncturist CurrentSince Sep 1, 2019 Accepting new patients

Locations

1601 Dove St
Ste 240
Newport Beach, CA 92660
Phone (949) 932-0998

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1073161428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 DOVE ST STE 240",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602411",
            "telephone_number": "949-932-0998",
            "fax_number": "949-932-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 DOVE ST STE 240",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602411",
            "telephone_number": "949-932-0998",
            "fax_number": "949-932-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "RUNSHENG",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC17856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.

Verify at the official NPI Registry.