Active NPI
Xiao Man Zhao, O.M.D.
- Acupuncturist
- Walnut, CA
National Provider Identifier
1215952312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC7701
- Practice address
- 18710 Amar Rd
Suite C
Walnut, CA 91789-4571 - Phone
- (626) 839-8578
- Fax
- (626) 839-8579
- NPI assigned
- Jul 12, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC7701 | CA | Primary |
Addresses
Primary practice location
18710 Amar Rd
Suite C
Walnut, CA 91789-4571
Mailing address
18710 Amar Rd
Suite C
Walnut, CA 91789-4571
Phone (626) 839-8578
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC0077010 | Medicaid | CA |
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 |
|---|---|---|---|
| AC7701 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walnut Natural Health Center | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215952312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18710 AMAR RD",
"address_2": "SUITE C",
"city": "WALNUT",
"state": "CA",
"postal_code": "917894571",
"telephone_number": "626-839-8578",
"fax_number": "626-839-8579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18710 AMAR RD",
"address_2": "SUITE C",
"city": "WALNUT",
"state": "CA",
"postal_code": "917894571",
"telephone_number": "626-839-8578",
"fax_number": "626-839-8579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHAO",
"first_name": "XIAO MAN",
"name_prefix": "Ms.",
"credential": "O.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC7701",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AC0077010",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Walnut, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.