Organization Active NPI

Persimmon Acupuncture Inc.

  • Acupuncturist
  • San Francisco, CA
National Provider Identifier
1245928522
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
PERSIMMON ACUPUNCTURE INC.
Practice address
3689 18TH St
San Francisco, CA 94110-1533
Phone
(415) 886-7068
NPI assigned
Apr 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Authorized official

Name
Mrs. Thy Anh Pham, L.AC., MSTCMNPI 1972299576
Title
Licensed Acupuncturist
Phone
(415) 886-7068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

3689 18TH St
San Francisco, CA 94110-1533

Mailing address

3689 18TH St
San Francisco, CA 94110-1533
Phone (415) 886-7068

National Provider Directory

National Provider Directory

Locations

3689 18th St
San Francisco, CA 94110
Phone (415) 570-9142

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1245928522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3689 18TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941101533",
            "telephone_number": "415-886-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3689 18TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941101533",
            "telephone_number": "415-886-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSIMMON ACUPUNCTURE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "THY",
        "authorized_official_middle_name": "ANH",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "415-886-7068",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.AC., MSTCM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.