Stan Shiyan Xu, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC15849 Issued in CA

Practice address

206 E Las Tunas Dr Ste 9
San Gabriel, CA 91776-1411

Phone

(626) 203-7966

NPI assigned

Apr 6, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shi Yan Xu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743292800000",
    "number": "1306231352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E LAS TUNAS DR STE 9",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761411",
            "telephone_number": "626-203-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E LAS TUNAS DR STE 9",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761411",
            "telephone_number": "626-203-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "STAN SHIYAN",
        "name_prefix": "Mr.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHI YAN",
            "last_name": "XU",
            "credential": "L.AC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leslie Bernard Wynne III, M.D.
• Dong Xiang, MD
• Xing Clinic
• Haiyan Xu
• Jing Xu, DDS
• Xingsheng Xu, L.AC 10710
• Xuanyu Lu DDS a Professional Corporation
• Kae Yabuki, BCBA
• Lihua Yan
• Shiufong Yan, PHARM.D

• Acupuncturist in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2025; 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.