Active NPI
Transform Acupuncture Inc
- Acupuncturist
- Garden Grove, CA
National Provider Identifier
1083131080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 11863
- Legal business name
- TRANSFORM ACUPUNCTURE INC
- Practice address
- 12832 Garden Grove Blvd Ste B
Garden Grove, CA 92843-2014 - Phone
- (714) 467-0293
- Fax
- (714) 467-0298
- NPI assigned
- Aug 29, 2017
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Loanne My Tran, LAC
- Title
- Ceo
- Phone
- (626) 975-5022
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 11863 | CA | Primary |
Addresses
Primary practice location
12832 Garden Grove Blvd Ste B
Garden Grove, CA 92843-2014
Mailing address
12832 Garden Grove Blvd Ste B
Garden Grove, CA 92843-2014
Phone (714) 467-0293
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225206972 | Other | CA | ACUPUNCTURE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1083131080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12832 GARDEN GROVE BLVD STE B",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928432014",
"telephone_number": "714-467-0293",
"fax_number": "714-467-0298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12832 GARDEN GROVE BLVD STE B",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928432014",
"telephone_number": "714-467-0293",
"fax_number": "714-467-0298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRANSFORM ACUPUNCTURE INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-29",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "TRAN",
"authorized_official_first_name": "LOANNE",
"authorized_official_middle_name": "MY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "626-975-5022",
"authorized_official_credential": "LAC"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "11863",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE",
"identifier": "1225206972",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.