Active NPI
Kuang Yuan Wen, L.AC
- Acupuncturist
- San Jose, CA
National Provider Identifier
1285709238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC10591
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| AC10591 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Acupuncturist
- San Jose, CA
- NPI 1932398179
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.