Organization Active NPI

Jia Yang Acupuncture Clinic, Inc

  • Acupuncturist
  • Pleasanton, CA
National Provider Identifier
1144569427
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC7920 Issued in CA
Legal business name
JIA YANG ACUPUNCTURE CLINIC, INC
Practice address
4460 Black Ave Ste I
Pleasanton, CA 94566-6139
Phone
(925) 339-1548
Fax
(815) 346-2482
NPI assigned
Feb 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Authorized official

Name
Mr. Jia Yang, L.ACNPI 1922157395
Title
President
Phone
(925) 339-1548

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 AC7920 CA Primary

Addresses

Primary practice location

4460 Black Ave Ste I
Pleasanton, CA 94566-6139

Mailing address

4460 Black Ave Ste I
Pleasanton, CA 94566-6139
Phone (925) 339-1548

National Provider Directory

National Provider Directory

Locations

4460 Black Ave
Ste I
Pleasanton, CA 94566
Phone (925) 339-1548

Practitioners & affiliated clinicians

Practitioners 1

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": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1144569427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 BLACK AVE STE I",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666139",
            "telephone_number": "925-339-1548",
            "fax_number": "815-346-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 BLACK AVE STE I",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666139",
            "telephone_number": "925-339-1548",
            "fax_number": "815-346-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIA YANG ACUPUNCTURE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "JIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-339-1548",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC7920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.