Individual provider Active NPI

Jiaxin Ye

  • Acupuncturist
  • Hayward, CA
National Provider Identifier
1114500428
Registry record updated Jan 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
19085 Issued in CA
Practice address
1629 Industrial Pkwy W
Hayward, CA 94544-7046
Phone
(510) 397-0675
Fax
(510) 397-0675
NPI assigned
May 4, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 19085 CA Primary

Addresses

Primary practice location

1629 Industrial Pkwy W
Hayward, CA 94544-7046

Mailing address

1629 Industrial Pkwy W
Hayward, CA 94544-7046
Phone (510) 397-0675

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
19085CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Acupuncture & Herbs Inc Acupuncturist CurrentSince Aug 1, 2021 Accepting new patients

Locations

1629 Industrial Pkwy W
Hayward, CA 94544
Phone (510) 397-0675

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736553600000",
    "number": "1114500428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 INDUSTRIAL PKWY W",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945447046",
            "telephone_number": "510-397-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 INDUSTRIAL PKWY W",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945447046",
            "telephone_number": "510-397-0675",
            "fax_number": "510-397-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YE",
        "first_name": "JIAXIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-04",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; 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.