Individual provider Active NPI

Lianying Guo Fraser

  • Acupuncturist
  • Ontario, CA
National Provider Identifier
1093955056
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC12291 Issued in CA
Practice address
1865 E 4TH St
Unit C-1
Ontario, CA 91764-2652
Phone
(909) 988-4089
Fax
(909) 988-4027
NPI assigned
Mar 3, 2009
Last updated
Jan 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC12291 CA Primary

Addresses

Primary practice location

1865 E 4TH St
Unit C-1
Ontario, CA 91764-2652

Mailing address

1865 E 4TH St
Unit C-1
Ontario, CA 91764-2652
Phone (909) 988-4089

Other names 1

  • Lianying Guo Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
AC12291CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Guo Chinese Medical Center Inc Acupuncturist CurrentSince Aug 11, 2020 Accepting new patients

Locations

1865 E 4th St
Ste C1
Ontario, CA 91764
Phone (909) 988-4089

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1093955056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 E 4TH ST",
            "address_2": "UNIT C-1",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917642652",
            "telephone_number": "909-988-4089",
            "fax_number": "909-988-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 E 4TH ST",
            "address_2": "UNIT C-1",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917642652",
            "telephone_number": "909-988-4089",
            "fax_number": "909-988-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "LIANYING",
        "middle_name": "GUO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-03",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIANYING",
            "last_name": "GUO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.