Individual provider Active NPI

Min Li Dao Liang, L AC.

  • Acupuncturist
  • San Francisco, CA
National Provider Identifier
1114038932
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC6666 Issued in CA
Practice address
890 Jackson St Ste 101
San Francisco, CA 94133-4848
Phone
(415) 982-1898
Fax
(415) 333-7138
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC6666 CA Primary

Addresses

Primary practice location

890 Jackson St Ste 101
San Francisco, CA 94133-4848

Mailing address

890 Jackson St Ste 101
San Francisco, CA 94133-4848
Phone (415) 982-1898

Other identifiers 1

IdentifierTypeStateIssuer
AC0066660OtherCAMEDI-CAL ID NUMBER

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

LicenseStateTypeSpecialty
AC6666CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114038932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 JACKSON ST STE 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334848",
            "telephone_number": "415-982-1898",
            "fax_number": "415-333-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 JACKSON ST STE 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334848",
            "telephone_number": "415-982-1898",
            "fax_number": "415-333-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIANG",
        "first_name": "MIN LI DAO",
        "name_prefix": "Mr.",
        "credential": "L AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL ID NUMBER",
            "identifier": "AC0066660",
            "state": "CA"
        }
    ],
    "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 Jul 8, 2007; 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.