NPIMap

Organization Active NPI

Cupertino Holistic Healing Clinic,Inc

  • Clinic/Center
  • Cupertino, CA
National Provider Identifier
1174010094
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
AC13263 Issued in CA
Legal business name
CUPERTINO HOLISTIC HEALING CLINIC,INC
Practice address
20445 Pacifica Dr Unit 1
Cupertino, CA 95014-3017
Phone
(650) 766-8718
NPI assigned
Apr 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Authorized official

Name
Xiaodan Li, OMD
Title
Doctor
Phone
(650) 766-9718

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AC13263 CA Primary

Addresses

Primary practice location

20445 Pacifica Dr Unit 1
Cupertino, CA 95014-3017

Mailing address

20445 Pacifica Dr Unit 1
Cupertino, CA 95014-3017
Phone (650) 766-8718

National Provider Directory

National Provider Directory

Locations

20445 Pacifica Dr
Unit 1
Cupertino, CA 95014
Phone (650) 766-8718

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1174010094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20445 PACIFICA DR UNIT 1",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143017",
            "telephone_number": "650-766-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20445 PACIFICA DR UNIT 1",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143017",
            "telephone_number": "650-766-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUPERTINO HOLISTIC HEALING CLINIC,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "XIAODAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "650-766-9718",
        "authorized_official_credential": "OMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "AC13263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.