Active NPI
Chang He Peng, LAC
- Acupuncturist
- Hayward, CA
National Provider Identifier
1194925925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 9292
- Practice address
- 25930 Kay Ave
Apt 202
Hayward, CA 94545-2658 - Phone
- (510) 598-5883
- NPI assigned
- Jul 19, 2007
- 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 | 9292 | CA | Primary |
Addresses
Primary practice location
25930 Kay Ave
Apt 202
Hayward, CA 94545-2658
Mailing address
25930 Kay Ave
Apt 202
Hayward, CA 94545-2658
Phone (510) 598-5883
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445472000000",
"number": "1194925925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25930 KAY AVE",
"address_2": "APT 202",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945452658",
"telephone_number": "510-598-5883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25930 KAY AVE",
"address_2": "APT 202",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945452658",
"telephone_number": "510-598-5883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENG",
"first_name": "CHANG",
"middle_name": "HE",
"name_prefix": "Mr.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-19",
"last_updated": "2015-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "9292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.