Active NPI
Grand Gong Zhao, C.A.
- Acupuncturist
- Rowland Heights, CA
National Provider Identifier
1104935337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC6291
- Practice address
- 18938 Labin CT Ste A205-2
Rowland Heights, CA 91748-2285 - Phone
- (626) 512-6075
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC6291 | CA | Primary |
Addresses
Primary practice location
18938 Labin CT Ste A205-2
Rowland Heights, CA 91748-2285
Mailing address
1729 E Portner St
West Covina, CA 91791-3545
Phone (626) 512-6075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC6291 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442016000000",
"number": "1104935337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1729 E PORTNER ST",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917913545",
"telephone_number": "626-512-6075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18938 LABIN CT STE A205-2",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917482285",
"telephone_number": "626-512-6075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHAO",
"first_name": "GRAND",
"middle_name": "GONG",
"name_prefix": "Dr.",
"credential": "C.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2015-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC6291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rowland Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.