Modesto Acupuncture

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC10857 Issued in CA

Legal business name

MODESTO ACUPUNCTURE

Practice address

2020 Coffee Road
Suite B-5
Modesto, CA 95355-2407

Phone

(209) 524-6154

Fax

(209) 491-2787

NPI assigned

Apr 2, 2007

Last updated

Feb 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sung Y Cheung, ACUPUNCTURIST

Title

Owner

Phone

(209) 524-6154

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Ray Watson, M.D.

  • Specialist
  • Modesto, CA
  • NPI 1376587006
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1285755850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 COFFEE ROAD",
            "address_2": "SUITE B-5",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552407",
            "telephone_number": "209-524-6154",
            "fax_number": "209-491-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 COFFEE ROAD",
            "address_2": "SUITE B-5",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552407",
            "telephone_number": "209-524-6154",
            "fax_number": "209-491-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODESTO ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "CHEUNG",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-524-6154",
        "authorized_official_credential": "ACUPUNCTURIST"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Lou Mizera
• Kazuko Kim Mizushima
• ML Wellness & Family Counseling, Inc
• Mobility Plus of California
• Navim Mobin, MD
• Modesto Adult Day Program Partners (Modesto Adult Day Program)
• Modesto Advanced Diagnostic Imaging Medical Center (Modesto Advanced Diag Imaging Medical Center)
• Modesto Anesthesia Medical Group
• Modesto Arts Medical Group, Inc.
• Modesto Chiropractic Center, a Rosen Family Corp. (Modesto Chiropractic Center)

• Acupuncturist in Modesto, CA
• Providers in Modesto, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.