Individual provider Active NPI

Tevy Arunson Hysell, L.AC.

  • Acupuncturist
  • Sanger, CA
National Provider Identifier
1285830869
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC10582 Issued in CA
Practice address
2514 Jensen Ave Ste 103
Sanger, CA 93657-2250
Phone
(559) 875-1970
Fax
(559) 875-2337
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC10582 CA Primary

Addresses

Primary practice location

2514 Jensen Ave Ste 103
Sanger, CA 93657-2250

Mailing address

693 Gloria Ave
Sanger, CA 93657-3564
Phone (559) 708-6810

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
AC10582CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285830869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 GLORIA AVE",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936573564",
            "telephone_number": "559-708-6810",
            "fax_number": "559-875-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 JENSEN AVE STE 103",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572250",
            "telephone_number": "559-875-1970",
            "fax_number": "559-875-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYSELL",
        "first_name": "TEVY",
        "middle_name": "ARUNSON",
        "name_prefix": "Mrs.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanger, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.