Organization Active NPI

Ivy Health Inc.

  • Acupuncturist
  • Newport Beach, CA
National Provider Identifier
1215189832
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC11453 Issued in CA
Legal business name
IVY HEALTH INC.
Practice address
355 Placentia Ave Ste 210
Newport Beach, CA 92663-3302
Phone
(949) 722-7088
Fax
(949) 722-8850
NPI assigned
Oct 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Dr. Liqun Xia, L.AC.
Title
Ceo
Phone
(949) 722-7088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC11453 CA Primary

Addresses

Primary practice location

355 Placentia Ave Ste 210
Newport Beach, CA 92663-3302

Mailing address

355 Placentia Ave Ste 210
Newport Beach, CA 92663-3302
Phone (949) 722-7088

National Provider Directory

National Provider Directory

Locations

355 Placentia Ave
Ste 210
Newport Beach, CA 92663
Phone (949) 722-7088

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1215189832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 PLACENTIA AVE STE 210",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633302",
            "telephone_number": "949-722-7088",
            "fax_number": "949-722-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 PLACENTIA AVE STE 210",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633302",
            "telephone_number": "949-722-7088",
            "fax_number": "949-722-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "XIA",
        "authorized_official_first_name": "LIQUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-722-7088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.