Green First Medical Group Gu's Chinese Acupuncture

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC5176 Issued in CA

Legal business name

GREEN FIRST MEDICAL GROUP GU'S CHINESE ACUPUNCTURE

Practice address

12180 Ridgecrest Rd
#402
Victorville, CA 92395-7798

Phone

(760) 885-9131

NPI assigned

Jul 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ta Gu, L.A.C.

Title

Owner/Acupuncturist

Phone

(760) 885-9131

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1316202633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12180 RIDGECREST RD",
            "address_2": "#402",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957798",
            "telephone_number": "760-885-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12180 RIDGECREST RD",
            "address_2": "#402",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957798",
            "telephone_number": "760-885-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN FIRST MEDICAL GROUP GU'S CHINESE ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "GU",
        "authorized_official_first_name": "TA",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "760-885-9131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.A.C."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC5176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Graves
• Chris Gray
• Tasha Gray
• Greater Good Health PC Inc
• Greater Hope Foundation for Children Inc (A Greater Hope)
• Green Med Trans, Inc.
• Green Tree Residence LLC
• Mercedes D Green, PH.D.
• Monika Green
• Sonya N Green

• Acupuncturist in Victorville, CA
• Providers in Victorville, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.