Active NPI
Jennifer Jing Yau, L.AC.
- Acupuncturist
- Ewa Beach, HI
National Provider Identifier
1295063006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1384
- Practice address
- 5875A Fulmar Ave
Ewa Beach, HI 96706-3238 - Phone
- (808) 492-6697
- Fax
- (808) 492-6697
- NPI assigned
- Dec 7, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 000052 | CA | |
| Acupuncturist | 171100000X | 1384 | HI | Primary |
Addresses
Primary practice location
5875A Fulmar Ave
Ewa Beach, HI 96706-3238
Mailing address
5875A Fulmar Ave
Ewa Beach, HI 96706-3238
Phone (415) 585-1990
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 |
|---|---|---|---|
| 1384 | HI | MD | Geriatric Medicine (Internal Medicine) Physician |
| 000052 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1295063006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5875A FULMAR AVE",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967063238",
"telephone_number": "415-585-1990",
"fax_number": "415-585-1990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5875A FULMAR AVE",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967063238",
"telephone_number": "808-492-6697",
"fax_number": "808-492-6697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAU",
"first_name": "JENNIFER",
"middle_name": "JING",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-07",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "000052",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "HI",
"license": "1384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ewa Beach, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.