Organization Active NPI

Tongbu Wellness Center,LLC

  • Acupuncturist
  • Novato, CA
National Provider Identifier
1306229711
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
TONGBU WELLNESS CENTER,LLC
Practice address
1682 Novato Blvd
Suite 152
Novato, CA 94947-7000
Phone
(415) 895-5871
Fax
(415) 895-6389
NPI assigned
Jul 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Authorized official

Name
Ms. Heide A Nielsen, L.AC.
Title
Licensed Acupuncturist
Phone
(415) 895-5871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

1682 Novato Blvd
Suite 152
Novato, CA 94947-7000

Mailing address

1682 Novato Blvd
Novato, CA 94947-7000
Phone (415) 895-5871

National Provider Directory

National Provider Directory

Locations

1682 Novato Blvd
Ste 152
Novato, CA 94947
Phone (415) 895-5871

1682 Novato Blvd
Novato, CA 94947
Phone (415) 473-2721

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1306229711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1682 NOVATO BLVD",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949477000",
            "telephone_number": "415-895-5871",
            "fax_number": "415-895-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1682 NOVATO BLVD",
            "address_2": "SUITE 152",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949477000",
            "telephone_number": "415-895-5871",
            "fax_number": "415-895-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONGBU WELLNESS CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "HEIDE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "415-895-5871",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.