NPIMap

Organization Active NPI

Pan Acupuncture & Herb

  • Acupuncturist
  • Granite Bay, CA
National Provider Identifier
1194012013
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC10224 Issued in CA
Legal business name
PAN ACUPUNCTURE & HERB
Practice address
6049 Douglas Blvd Ste 22
Granite Bay, CA 95746-6275
Phone
(916) 784-1808
NPI assigned
Jun 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Authorized official

Name
Lin PanNPI 1376745380
Title
Owner
Phone
(916) 784-1808

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 AC10224 CA Primary

Addresses

Primary practice location

6049 Douglas Blvd Ste 22
Granite Bay, CA 95746-6275

Mailing address

6049 Douglas Blvd Ste 22
Granite Bay, CA 95746-6275
Phone (916) 784-1808

National Provider Directory

National Provider Directory

Locations

6049 Douglas Blvd
Ste 22
Granite Bay, CA 95746
Phone (916) 247-8717

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": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1194012013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6049 DOUGLAS BLVD STE 22",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466275",
            "telephone_number": "916-784-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6049 DOUGLAS BLVD STE 22",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466275",
            "telephone_number": "916-784-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAN ACUPUNCTURE & HERB",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "PAN",
        "authorized_official_first_name": "LIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-784-1808"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jun 29, 2011; 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.