Active NPI
Chuan Tung Lee, LAC
- Acupuncturist
- Oakland, CA
National Provider Identifier
1245353671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 10781
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC 10781 | Other | CA | LICENSED ACUPUNCTURIST |
Other names 1
- Chuan Tung Lee
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 |
|---|---|---|---|
| AC 10781 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
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.