Organization Active NPI

Grace Fountain Acupuncture Inc

  • Acupuncturist
  • San Jose, CA
National Provider Identifier
1174257984
Registry record updated Jul 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
GRACE FOUNTAIN ACUPUNCTURE INC
Practice address
1630 Oakland Rd
San Jose, CA 95131-2449
Phone
(669) 291-5033
NPI assigned
Jul 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2022

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

Authorized official

Name
Junxia SuNPI 1386378180
Title
Ceo
Phone
(669) 291-5033

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

1630 Oakland Rd
San Jose, CA 95131-2449

Mailing address

3365 Bareoak CT
San Jose, CA 95148-2107

National Provider Directory

National Provider Directory

Locations

1630 Oakland Rd
San Jose, CA 95131
Phone (669) 291-5033

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": "1657929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657929600000",
    "number": "1174257984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 BAREOAK CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 OAKLAND RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312449",
            "telephone_number": "669-291-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE FOUNTAIN ACUPUNCTURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-16",
        "last_updated": "2022-07-16",
        "certification_date": "2022-07-16",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "JUNXIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "669-291-5033"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

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