Active NPI
Chung-Yun Corrine Wang, N.D.
- Naturopath
- Los Altos, CA
National Provider Identifier
1275814535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND-479
- Practice address
- 160 Main St
Suite a
Los Altos, CA 94022-2905 - Phone
- (650) 352-3469
- NPI assigned
- Aug 31, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Naturopath | 175F00000X | ND-479 | CA | Primary |
Addresses
Primary practice location
160 Main St
Suite a
Los Altos, CA 94022-2905
Mailing address
635 Georgia Ave
Palo Alto, CA 94306-3811
Phone (650) 799-0901
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 |
|---|---|---|---|
| ND-479 | CA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1275814535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 GEORGIA AVE",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943063811",
"telephone_number": "650-799-0901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 MAIN ST",
"address_2": "SUITE A",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940222905",
"telephone_number": "650-352-3469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "CHUNG-YUN",
"middle_name": "CORRINE",
"credential": "N.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-31",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND-479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Altos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.