Organization Active NPI

Grandpath Medical Group

  • Acupuncturist
  • San Francisco, CA
National Provider Identifier
1104642479
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
GRANDPATH MEDICAL GROUP
Practice address
3701 Geary Blvd Ste 101
San Francisco, CA 94118-3208
Phone
(510) 480-6312
NPI assigned
Dec 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Chin Shin YangNPI 1821824731
Title
Ceo
Phone
(415) 994-4011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

3701 Geary Blvd Ste 101
San Francisco, CA 94118-3208

Mailing address

3701 Geary Blvd Ste 101
San Francisco, CA 94118-3208

Other identifiers 3

IdentifierTypeStateIssuer
1386963510OtherACUPUNCTURIST
1821824731OtherACUPUNCTURIST
1215703327OtherACUPUNCTURIST

National Provider Directory

National Provider Directory

Locations

3701 Geary Blvd
#101
San Francisco, CA 94118
Phone (510) 480-6312

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1104642479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 GEARY BLVD STE 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 GEARY BLVD STE 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183208",
            "telephone_number": "510-480-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDPATH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "CHIN SHIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-994-4011"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURIST",
            "identifier": "1386963510",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURIST",
            "identifier": "1821824731",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURIST",
            "identifier": "1215703327",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.