NPIMap

Organization Active NPI

Life River Acupuncture and Integrative Medicine Inc.

  • Acupuncturist
  • Granite Bay, CA
National Provider Identifier
1134899693
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
LIFE RIVER ACUPUNCTURE AND INTEGRATIVE MEDICINE INC.
Practice address
9711 Village Center Dr Ste 110
Granite Bay, CA 95746-6493
Phone
(916) 906-0056
NPI assigned
Sep 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
Mr. Kuosen TsengNPI 1700390911
Title
Owner
Phone
(916) 906-0056

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

9711 Village Center Dr Ste 110
Granite Bay, CA 95746-6493

Mailing address

9506 Windrose LN
Granite Bay, CA 95746-6486
Phone (916) 906-0056

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.liferiveracupuncture Direct

National Provider Directory

National Provider Directory

Locations

9711 Village Center Dr
Ste 110
Granite Bay, CA 95746
Phone (916) 906-0056

Practitioners & affiliated clinicians

Practitioners 2

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": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1134899693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9506 WINDROSE LN",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466486",
            "telephone_number": "916-906-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 VILLAGE CENTER DR STE 110",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466493",
            "telephone_number": "916-906-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE RIVER ACUPUNCTURE AND INTEGRATIVE MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "TSENG",
        "authorized_official_first_name": "KUOSEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-906-0056",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.liferiveracupuncture",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "9711 Village Center Dr Ste 110",
            "city": "Granite Bay",
            "state": "CA",
            "country_code": "US",
            "postal_code": "957466493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Granite Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.