Individual provider Active NPI

Chuan Tung Lee, LAC

  • Acupuncturist
  • Oakland, CA
National Provider Identifier
1245353671
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 10781 Issued in CA
Practice address
2844 Summit St Ste 200
Oakland, CA 94609-3642
Phone
(510) 451-4563
Fax
(510) 451-4863
NPI assigned
Apr 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 10781 CA Primary

Addresses

Primary practice location

2844 Summit St Ste 200
Oakland, CA 94609-3642

Mailing address

2844 Summit St Ste 200
Oakland, CA 94609-3642
Phone (510) 451-4563

Other practice location 1

401 29th St
Suite 108
Oakland, CA 94609-3519
Phone (510) 451-4563

Other practice location 2

1605 W El Camino Real Ste 101
Mountain View, CA 94040-2459
Phone (650) 625-8971

Other identifiers 1

IdentifierTypeStateIssuer
AC 10781OtherCALICENSED ACUPUNCTURIST

Other names 1

  • Chuan Tung Lee Other 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

State licenses

LicenseStateTypeSpecialty
AC 10781CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
California Pacific Medical Group, Inc. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1245353671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2844 SUMMIT ST STE 200",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093642",
            "telephone_number": "510-451-4563",
            "fax_number": "510-451-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2844 SUMMIT ST STE 200",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093642",
            "telephone_number": "510-451-4563",
            "fax_number": "510-451-4863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 29th St",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946093519",
            "country_code": "US",
            "telephone_number": "510-451-4563",
            "fax_number": "510-451-4863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1605 W El Camino Real Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940402459",
            "country_code": "US",
            "telephone_number": "650-625-8971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHUAN TUNG",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 10781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ACUPUNCTURIST",
            "identifier": "AC 10781",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHUAN TUNG",
            "last_name": "LEE",
            "credential": "L.AC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 11, 2018; 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.