Organization Active NPI

Origin Acupuncture

  • Acupuncturist
  • Redwood City, CA
National Provider Identifier
1306537493
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
ORIGIN ACUPUNCTURE
Practice address
950 Woodside Rd Ste 2
Redwood City, CA 94061-3643
Phone
(510) 766-8057
NPI assigned
May 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Quan Gan, LACNPI 1710654140
Title
Owner
Phone
(510) 766-8057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

950 Woodside Rd Ste 2
Redwood City, CA 94061-3643

Mailing address

950 Woodside Rd Ste 2
Redwood City, CA 94061-3643
Phone (510) 766-8057

National Provider Directory

National Provider Directory

Locations

950 Woodside Rd
Ste 2
Redwood City, CA 94061
Phone (510) 766-8057

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1306537493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 WOODSIDE RD STE 2",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613643",
            "telephone_number": "510-766-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 WOODSIDE RD STE 2",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613643",
            "telephone_number": "510-766-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGIN ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "GAN",
        "authorized_official_first_name": "QUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-766-8057",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.

Verify at the official NPI Registry.