Individual provider Active NPI

Lucy Tan

  • Acupuncturist
  • Roseville, CA
National Provider Identifier
1073919676
Registry record updated Jan 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
16261 Issued in CA
Practice address
2003 Opportunity Dr
Suite 10
Roseville, CA 95678-3008
Phone
(916) 897-3635
Fax
(916) 256-4464
NPI assigned
Nov 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 16261 CA Primary

Addresses

Primary practice location

2003 Opportunity Dr
Suite 10
Roseville, CA 95678-3008

Mailing address

1633 Hummingbird Way
Roseville, CA 95747-4824
Phone (916) 897-3635

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
16261CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1415404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484956800000",
    "number": "1073919676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 HUMMINGBIRD WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957474824",
            "telephone_number": "916-897-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 OPPORTUNITY DR",
            "address_2": "SUITE 10",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956783008",
            "telephone_number": "916-897-3635",
            "fax_number": "916-256-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "LUCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-08",
        "last_updated": "2017-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.