Individual provider Active NPI

Bich Tina Tsan, LAC

  • Acupuncturist
  • Encino, CA
National Provider Identifier
1295285849
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
17235 Issued in CA
Practice address
17200 Burbank Blvd
Encino, CA 91316-1801
Phone
(562) 972-5812
Fax
(562) 972-5812
NPI assigned
Oct 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 17235 CA Primary

Addresses

Primary practice location

17200 Burbank Blvd
Encino, CA 91316-1801

Mailing address

17200 Burbank Blvd
Encino, CA 91316-1801
Phone (562) 972-5812

Other practice location 1

16200 Ventura Blvd Ste 201
Encino, CA 91436-4633
Phone (818) 986-1203

Other practice location 2

16200 Ventura Blvd
409
Encino, CA 91436-9143
Phone (562) 972-5812

Other practice location 3

17200 Ventura Blvd
Encino, CA 91316-4005
Phone (562) 972-5812

Other identifiers 2

IdentifierTypeStateIssuer
17235OtherCASTATE LICENSE
17235OtherCAACUPUNCTURE

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

NPI Registry JSON

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1295285849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17200 BURBANK BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161801",
            "telephone_number": "562-972-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 BURBANK BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161801",
            "telephone_number": "562-972-5812",
            "fax_number": "562-972-5812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16200 Ventura Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914364633",
            "country_code": "US",
            "telephone_number": "818-986-1203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16200 Ventura Blvd",
            "address_2": "409",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914369143",
            "country_code": "US",
            "telephone_number": "562-972-5812",
            "fax_number": "562-972-5812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17200 Ventura Blvd",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "913164005",
            "country_code": "US",
            "telephone_number": "562-972-5812",
            "fax_number": "562-972-5812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSAN",
        "first_name": "BICH",
        "middle_name": "TINA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "17235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "17235",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "17235",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.