Active NPI
Dat On, L.AC.
- Acupuncturist
- Stockton, CA
National Provider Identifier
1154611358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC14184
- Practice address
- 5904 N El Dorado St
Ste a
Stockton, CA 95207-4467 - Phone
- (209) 898-7525
- Fax
- (209) 898-7525
- NPI assigned
- Apr 9, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | AC14184 | CA | Primary |
Addresses
Primary practice location
5904 N El Dorado St
Ste a
Stockton, CA 95207-4467
Mailing address
5904 N El Dorado St
Ste a
Stockton, CA 95207-4467
Phone (209) 898-7525
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 |
|---|---|---|---|
| AC14184 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454371200000",
"number": "1154611358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5904 N EL DORADO ST",
"address_2": "STE A",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952074467",
"telephone_number": "209-898-7525",
"fax_number": "209-898-7525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5904 N EL DORADO ST",
"address_2": "STE A",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952074467",
"telephone_number": "209-898-7525",
"fax_number": "209-898-7525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ON",
"first_name": "DAT",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-09",
"last_updated": "2016-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC14184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.