Timothy Yan, a Professional Acupuncture Organization

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

TIMOTHY YAN, A PROFESSIONAL ACUPUNCTURE ORGANIZATION

Practice address

500 Alfred Nobel Dr Ste 220
Hercules, CA 94547-1840

Phone

(510) 724-8882

NPI assigned

Nov 2, 2018

Organization subpart

No

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

Authorized official

Name

Timothy Yan, LAC

Title

President

Phone

(510) 724-8882

Specialties & licenses 1

Addresses

Other names 1

• Spring Life Acupuncture Doing business as

Locations

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1104394600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ALFRED NOBEL DR STE 220",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471840",
            "telephone_number": "510-724-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALFRED NOBEL DR STE 220",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471840",
            "telephone_number": "510-724-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY YAN, A PROFESSIONAL ACUPUNCTURE ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "YAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-724-8882",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Life Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Taylor
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• Erik Chandra Tjoe, PHARM.D.
• Shelby Tomaszewski
• Aileen Torres Robledo
• Kevin Minh Tran-Mortel
• Gabriela Trujillo

• Acupuncturist in Hercules, CA
• Providers in Hercules, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.