Organization Active NPI

Jade Tree LLC

  • Acupuncturist
  • Sacramento, CA
National Provider Identifier
1104206648
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC11935 Issued in CA
Legal business name
JADE TREE LLC
Practice address
4690 Natomas Blvd Ste 140
Sacramento, CA 95835-2230
Phone
(530) 979-6713
NPI assigned
May 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Authorized official

Name
Stefan Cheng
Title
President
Phone
(530) 979-6713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC11935 CA Primary

Addresses

Primary practice location

4690 Natomas Blvd Ste 140
Sacramento, CA 95835-2230

Mailing address

3301 N Park Dr Unit 3714
Sacramento, CA 95835-1891
Phone (916) 833-2682

National Provider Directory

National Provider Directory

Locations

4690 Natomas Blvd
Ste 140
Sacramento, CA 95835
Phone (530) 979-6713

NPI Registry JSON

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1104206648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 N PARK DR UNIT 3714",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958351891",
            "telephone_number": "916-833-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4690 NATOMAS BLVD STE 140",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958352230",
            "telephone_number": "530-979-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE TREE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-979-6713"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.