Individual provider Active NPI

Jason Frye, L.AC.

  • Acupuncturist
  • Oakland, CA
National Provider Identifier
1083965628
Registry record updated Sep 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
14012 Issued in CA
Practice address
407 49TH St
Oakland, CA 94609-2101
Phone
(510) 717-6795
NPI assigned
Sep 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 14012 CA Primary

Addresses

Primary practice location

407 49TH St
Oakland, CA 94609-2101

Mailing address

407 49TH St
Oakland, CA 94609-2101
Phone (510) 717-6795

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hilltop Family Acupuncture Inc. Acupuncturist Current Accepting new patients

Locations

2970 Hilltop Mall Rd
Ste 105
Richmond, CA 94806
Phone (510) 717-6795

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348358400000",
    "number": "1083965628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 49TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092101",
            "telephone_number": "510-717-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 49TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092101",
            "telephone_number": "510-717-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYE",
        "first_name": "JASON",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-23",
        "last_updated": "2012-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "14012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2012; 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.