Active NPI
Susan Shao, L.AC.
- Acupuncturist
- Fountain Valley, CA
National Provider Identifier
1295892362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC2948
- Practice address
- 9092 Talbert Ave
Suite 10
Fountain Valley, CA 92708-4452 - Phone
- (714) 968-3325
- Fax
- (714) 968-6656
- NPI assigned
- Jan 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC2948 | CA | Primary |
Addresses
Primary practice location
9092 Talbert Ave
Suite 10
Fountain Valley, CA 92708-4452
Mailing address
9092 Talbert Ave
Suite 10
Fountain Valley, CA 92708-4452
Phone (714) 968-3325
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA0029480 | Other | CA | BLUE SHIELD OF CALIFORNIA |
| 5761398 | Other | UT | COVENTRY HEALTH CARE/FIRST HEALTH |
Other names 1
- Mrs. Susan S.C. Shao
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 |
|---|---|---|---|
| AC2948 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan Shao L.Ac. | 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
- Fountain Valley, CA
- NPI 1871851675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228089600000",
"number": "1295892362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9092 TALBERT AVE",
"address_2": "SUITE 10",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084452",
"telephone_number": "714-968-3325",
"fax_number": "714-968-6656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9092 TALBERT AVE",
"address_2": "SUITE 10",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084452",
"telephone_number": "714-968-3325",
"fax_number": "714-968-6656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAO",
"first_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-01",
"last_updated": "2008-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC2948",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "CA0029480",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTH CARE/FIRST HEALTH",
"identifier": "5761398",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "SHAO",
"middle_name": "S.C.",
"prefix": "MRS.",
"credential": "L.AC.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.