Individual provider Active NPI

Congjun Ouyang, L. AC

  • Acupuncturist
  • Livermore, CA
National Provider Identifier
1316193097
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 9202 Issued in CA
Practice address
1058 Murrieta Blvd
Livermore, CA 94550-4111
Phone
(925) 462-1299
Fax
(925) 888-4926
NPI assigned
Aug 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 9202 CA Primary

Addresses

Primary practice location

1058 Murrieta Blvd
Livermore, CA 94550-4111

Mailing address

1058 Murrieta Blvd
Livermore, CA 94550-4111
Phone (925) 462-1299

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

LicenseStateTypeSpecialty
AC 9202CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1316193097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 MURRIETA BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504111",
            "telephone_number": "925-462-1299",
            "fax_number": "925-888-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 MURRIETA BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504111",
            "telephone_number": "925-462-1299",
            "fax_number": "925-888-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUYANG",
        "first_name": "CONGJUN",
        "name_prefix": "Ms.",
        "credential": "L. AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2021-07-06",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 9202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.