Individual provider Active NPI

Kuang Yuan Wen, L.AC

  • Acupuncturist
  • San Jose, CA
National Provider Identifier
1285709238
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC10591 Issued in CA
Practice address
4325 Moorpark Ave Ste B
San Jose, CA 95129-2076
Phone
(408) 646-4153
Fax
(866) 889-5168
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC10591 CA Primary

Addresses

Primary practice location

4325 Moorpark Ave Ste B
San Jose, CA 95129-2076

Mailing address

4325 Moorpark Ave Ste B
San Jose, CA 95129-2076
Phone (408) 646-4153

Other practice location 1

655 Castro St
Suite 4
Mountain View, CA 94041-2000
Phone (650) 961-2378

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
AC10591CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Good Life Clinic & Spa Inc Acupuncturist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1285709238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 MOORPARK AVE STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951292076",
            "telephone_number": "408-646-4153",
            "fax_number": "866-889-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 MOORPARK AVE STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951292076",
            "telephone_number": "408-646-4153",
            "fax_number": "866-889-5168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 Castro St",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940412000",
            "country_code": "US",
            "telephone_number": "650-961-2378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEN",
        "first_name": "KUANG YUAN",
        "name_prefix": "Mr.",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10591",
            "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 Feb 20, 2019; 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.