Individual provider Active NPI

Yi Sun, L. AC

  • Acupuncturist
  • Milpitas, CA
National Provider Identifier
1346311842
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 10293 Issued in CA
Practice address
40 N Park Victoria Dr Ste F
Milpitas, CA 95035-4600
Phone
(408) 252-1863
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 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 10293 CA Primary

Addresses

Primary practice location

40 N Park Victoria Dr Ste F
Milpitas, CA 95035-4600

Mailing address

42271 Blacow Rd
Fremont, CA 94538-4172
Phone (408) 252-1863

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 10293CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Yicawell Acupuncture Inc Acupuncturist CurrentSince Jan 1, 2021 Accepting new patients
Yicawell Acupuncture and Herbal Center Inc. Acupuncturist Past Accepting new patients

Locations

40 N Park Victoria Dr
Ste F
Milpitas, CA 95035
Phone (408) 252-1863

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1346311842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42271 BLACOW RD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945384172",
            "telephone_number": "408-252-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N PARK VICTORIA DR STE F",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950354600",
            "telephone_number": "408-252-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "YI",
        "name_prefix": "Mrs.",
        "credential": "L. AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 10293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

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