Organization Active NPI

Transform Acupuncture Inc

  • Acupuncturist
  • Garden Grove, CA
National Provider Identifier
1083131080
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
11863 Issued in CA
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1225206972OtherCAACUPUNCTURE

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.