NPIMap

Organization Active NPI

Priscilla Chan Acupuncture

  • Point of Service
  • Fullerton, CA
National Provider Identifier
1265810030
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
AC16437 Issued in CA
Legal business name
PRISCILLA CHAN ACUPUNCTURE
Practice address
301 N Raymond Ave
Fullerton, CA 92831-3822
Phone
(714) 525-8767
Fax
(714) 525-8795
NPI assigned
May 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Authorized official

Name
Prof. Priscilla Lynne Chan, L.AC.NPI 1538549399
Title
Owner / Acupuncturist
Phone
(714) 525-8767

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
Point of Service 305S00000X AC16437 CA Primary

Addresses

Primary practice location

301 N Raymond Ave
Fullerton, CA 92831-3822

Mailing address

301 N Raymond Ave
Fullerton, CA 92831-3822
Phone (714) 525-8767

National Provider Directory

National Provider Directory

Locations

301 N Raymond Ave
Fullerton, CA 92831
Phone (714) 525-8767

Practitioners & affiliated clinicians

Practitioners 2

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": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1265810030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N RAYMOND AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313822",
            "telephone_number": "714-525-8767",
            "fax_number": "714-525-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N RAYMOND AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313822",
            "telephone_number": "714-525-8767",
            "fax_number": "714-525-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISCILLA CHAN ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER / ACUPUNCTURIST",
        "authorized_official_telephone_number": "714-525-8767",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "AC16437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.