Individual provider Active NPI

Amy Xing-Johnson

  • Acupuncturist
  • Riverside, CA
National Provider Identifier
1225112808
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC3971 Issued in CA
Practice address
6800 Indiana Ave
100
Riverside, CA 92506-4269
Phone
(951) 784-0089
Fax
(951) 784-0289
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC3971 CA Primary

Addresses

Primary practice location

6800 Indiana Ave
100
Riverside, CA 92506-4269

Mailing address

6800 Indiana Ave
100
Riverside, CA 92506-4269
Phone (951) 784-0089

Other identifiers 2

IdentifierTypeStateIssuer
AC0039710OtherCAMEDICAL
ZZZ13585ZOtherCABLUE SHIELD OF CALIFORNIA

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

LicenseStateTypeSpecialty
AC3971CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Clinic Acupuncture & Herbs, Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225112808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 INDIANA AVE",
            "address_2": "100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064269",
            "telephone_number": "951-784-0089",
            "fax_number": "951-784-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 INDIANA AVE",
            "address_2": "100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064269",
            "telephone_number": "951-784-0089",
            "fax_number": "951-784-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XING-JOHNSON",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC3971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "AC0039710",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ13585Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, 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.

Verify at the official NPI Registry.