Individual provider Active NPI

Jia Guo, DOM, L.AC

  • Acupuncturist
  • Bryn Mawr, PA
National Provider Identifier
1235278490
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
OM 000017 Issued in PA
Practice address
26 Summit Grove Ave
Suite 26
Bryn Mawr, PA 19010-3230
Phone
(610) 526-9598
Fax
(610) 527-1599
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X OM 000017 PA Primary

Addresses

Primary practice location

26 Summit Grove Ave
Suite 26
Bryn Mawr, PA 19010-3230

Mailing address

26 Summit Grove Ave
Suite 26
Bryn Mawr, PA 19010-3230
Phone (610) 526-9598

Other names 1

  • Jia Nadia Guo Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
China Health Way, Inc Acupuncturist Current Accepting new patients
Jia Guo Acupuncturist Past Accepting new patients

Locations

26 Summit Grove Ave
Ste 26
Bryn Mawr, PA 19010
Phone (610) 526-9598

Organizations & group practices 2

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1235278490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SUMMIT GROVE AVE",
            "address_2": "SUITE 26",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103230",
            "telephone_number": "610-526-9598",
            "fax_number": "610-527-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SUMMIT GROVE AVE",
            "address_2": "SUITE 26",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103230",
            "telephone_number": "610-526-9598",
            "fax_number": "610-527-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUO",
        "first_name": "JIA",
        "credential": "DOM, L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "OM 000017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIA",
            "last_name": "GUO",
            "middle_name": "NADIA",
            "credential": "DOM, L.AC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.