Active NPI
Kimberly Wu, OTR/L, L.AC.
- Acupuncturist
- Oakland, CA
National Provider Identifier
1194986125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- CA 15177
- Practice address
- 475 29TH St
Oakland, CA 94609-3510 - Phone
- (510) 832-3222
- Fax
- (510) 832-5617
- NPI assigned
- Jun 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 9172 | CA | |
| Acupuncturist | 171100000X | CA 15177 | CA | Primary |
Addresses
Primary practice location
475 29TH St
Oakland, CA 94609-3510
Mailing address
475 29TH St
Oakland, CA 94609-3510
Phone (510) 832-3222
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 |
|---|---|---|---|
| CA 15177 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368144000000",
"number": "1194986125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 29TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093510",
"telephone_number": "510-832-3222",
"fax_number": "510-832-5617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 29TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093510",
"telephone_number": "510-832-3222",
"fax_number": "510-832-5617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "KIMBERLY",
"credential": "OTR/L, L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-23",
"last_updated": "2013-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "9172",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "CA 15177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.