Active NPI
Butu Wellness Inc
- Acupuncturist
- San Jose, CA
National Provider Identifier
1104523612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Acupuncturist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578058772 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.