NPIMap

Organization Active NPI

United University of Los Angeles, Inc.

Doing business as United University Clinic

  • Acupuncturist
  • Redlands, CA
National Provider Identifier
1346273711
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC4514 Issued in CA
Legal business name
UNITED UNIVERSITY OF LOS ANGELES, INC.
Doing business as
United University Clinic
Practice address
620 Alabama St
Redlands, CA 92373-8059
Phone
(909) 792-4434
Fax
(909) 628-1085
NPI assigned
Jul 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenny G Cherng, L.AC., PH.D.NPI 1407973506
Title
Licensed Acupuncturist
Phone
(909) 628-1955

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
Acupuncturist 171100000X AC4514 CA Primary

Addresses

Primary practice location

620 Alabama St
Redlands, CA 92373-8059

Mailing address

12979 Central Ave
Chino, CA 91710-4122
Phone (909) 628-1955

Other identifiers 1

IdentifierTypeStateIssuer
AC 4514OtherCACALIFORNIA LICENSE

Other names 1

  • UNITED UNIVERSITY CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
United University Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346273711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12979 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104122",
            "telephone_number": "909-628-1955",
            "fax_number": "909-628-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 ALABAMA ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738059",
            "telephone_number": "909-792-4434",
            "fax_number": "909-628-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED UNIVERSITY OF LOS ANGELES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHERNG",
        "authorized_official_first_name": "KENNY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "909-628-1955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC., PH.D."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC4514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE",
            "identifier": "AC 4514",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITED UNIVERSITY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.