Individual provider Active NPI

CHI-Yuan Sui, LAC.O.M.D

  • Acupuncturist
  • Tarzana, CA
National Provider Identifier
1073862090
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 14175 Issued in CA
Practice address
5567 Reseda Blvd Ste 101
Tarzana, CA 91356-2648
Phone
(213) 387-4710
NPI assigned
Sep 5, 2012
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 14175 CA Primary

Addresses

Primary practice location

5567 Reseda Blvd Ste 101
Tarzana, CA 91356-2648

Mailing address

5567 Reseda Blvd Ste 101
Tarzana, CA 91356-2648
Phone (585) 506-8624

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
AC 14175CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1073862090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5567 RESEDA BLVD STE 101",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562648",
            "telephone_number": "585-506-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5567 RESEDA BLVD STE 101",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562648",
            "telephone_number": "213-387-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUI",
        "first_name": "CHI-YUAN",
        "name_prefix": "Dr.",
        "credential": "LAC.O.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-05",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 14175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.