Organization Active NPI

Otimolife Acupuncture Inc.

  • Acupuncturist
  • San Jose, CA
National Provider Identifier
1093676553
Registry record updated Nov 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
OTIMOLIFE ACUPUNCTURE INC.
Practice address
5150 Graves Ave Ste 5B
San Jose, CA 95129-5005
Phone
(925) 255-3888
Fax
(408) 877-1878
NPI assigned
Nov 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2025

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

Authorized official

Name
Inyoung Ha Venegas, L.AC
Title
Acupuncturist
Phone
(925) 255-3888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

5150 Graves Ave Ste 5B
San Jose, CA 95129-5005

Mailing address

5150 Graves Ave Ste 5B
San Jose, CA 95129-5005
Phone (925) 255-3888

National Provider Directory

National Provider Directory

Locations

5150 Graves Ave
Ste 5B
San Jose, CA 95129
Phone (408) 517-0560

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1763769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763769600000",
    "number": "1093676553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 GRAVES AVE STE 5B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951295005",
            "telephone_number": "925-255-3888",
            "fax_number": "408-877-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 GRAVES AVE STE 5B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951295005",
            "telephone_number": "925-255-3888",
            "fax_number": "408-877-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTIMOLIFE ACUPUNCTURE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-22",
        "last_updated": "2025-11-22",
        "certification_date": "2025-11-22",
        "status": "A",
        "authorized_official_last_name": "VENEGAS",
        "authorized_official_first_name": "INYOUNG",
        "authorized_official_middle_name": "HA",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "925-255-3888",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.