Organization Active NPI

Butu Wellness Inc

  • Acupuncturist
  • San Jose, CA
National Provider Identifier
1104523612
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
BUTU WELLNESS INC
Practice address
1073 S Winchester Blvd
San Jose, CA 95128-3702
Phone
(626) 283-3465
NPI assigned
Feb 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Xun Li
Title
Manager
Phone
(626) 283-3465

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

1073 S Winchester Blvd
San Jose, CA 95128-3702

Mailing address

1073 S Winchester Blvd
San Jose, CA 95128-3702
Phone (626) 283-3465

Other identifiers 1

IdentifierTypeStateIssuer
1578058772MedicaidCA

National Provider Directory

National Provider Directory

Locations

1073 S Winchester Blvd
San Jose, CA 95128
Phone (626) 283-3465

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1104523612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1073 S WINCHESTER BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283702",
            "telephone_number": "626-283-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 S WINCHESTER BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283702",
            "telephone_number": "626-283-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTU WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "XUN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "626-283-3465"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578058772",
            "state": "CA"
        }
    ],
    "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 Feb 15, 2023; 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.