Individual provider Active NPI

Jian-Ping Fu, PH.D. L.AC

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1265502694
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC7680 Issued in CA
Practice address
12340 Santa Monica Blvd Ste 130
Los Angeles, CA 90025-2584
Phone
(310) 207-1007
Fax
(310) 207-1007
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC7680 CA Primary

Addresses

Primary practice location

12340 Santa Monica Blvd Ste 130
Los Angeles, CA 90025-2584

Mailing address

12340 Santa Monica Blvd Ste 130
Los Angeles, CA 90025-2584
Phone (310) 207-1007

Other identifiers 1

IdentifierTypeStateIssuer
AC0076800MedicaidCA

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
AC7680CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265502694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12340 SANTA MONICA BLVD STE 130",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252584",
            "telephone_number": "310-207-1007",
            "fax_number": "310-207-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12340 SANTA MONICA BLVD STE 130",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252584",
            "telephone_number": "310-207-1007",
            "fax_number": "310-207-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FU",
        "first_name": "JIAN-PING",
        "name_prefix": "Dr.",
        "credential": "PH.D. L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC7680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AC0076800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.