Active NPI
Eliza Yiyen Yen, L.AC.
- Acupuncturist
- Palo Alto, CA
National Provider Identifier
1114479185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 16852
- Practice address
- 410 Spruce LN
Palo Alto, CA 94306-5923 - Phone
- (408) 857-8303
- NPI assigned
- Oct 26, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 16852 | CA | Primary |
Addresses
Primary practice location
410 Spruce LN
Palo Alto, CA 94306-5923
Mailing address
410 Spruce LN
Palo Alto, CA 94306-5923
Phone (408) 857-8303
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 |
|---|---|---|---|
| 16852 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1114479185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 SPRUCE LN",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943065923",
"telephone_number": "408-857-8303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 SPRUCE LN",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943065923",
"telephone_number": "408-857-8303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEN",
"first_name": "ELIZA",
"middle_name": "YIYEN",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-26",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "16852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.