Individual provider Active NPI

Wenru Sun

  • Acupuncturist
  • San Jose, CA
National Provider Identifier
1255750485
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC14211 Issued in CA
Practice address
500 Downing Ave
San Jose, CA 95128-3478
Phone
(408) 599-6689
NPI assigned
Apr 15, 2014
Last updated
Apr 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 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 AC14211 CA Primary

Addresses

Primary practice location

500 Downing Ave
San Jose, CA 95128-3478

Mailing address

500 Downing Ave
San Jose, CA 95128-3478

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
AC14211CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Wenru Sun Acupuncture Clinic Prof. Corp. CurrentSince Oct 8, 2023 Accepting new patients
Wenru Sun Acupuncture Acupuncturist Current Accepting new patients

Locations

2040 Forest Ave
Ste 4
San Jose, CA 95128
Phone (408) 292-0802

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1255750485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 DOWNING AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DOWNING AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283478",
            "telephone_number": "408-599-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "WENRU",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.