Active NPI
Jade Tree LLC
- Acupuncturist
- Sacramento, CA
National Provider Identifier
1104206648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC11935
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 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 DirectoryLocations
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.