Active NPI
Luyang Tan, AC12693
- Acupuncturist
- Poway, CA
National Provider Identifier
1346539400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC12693
- Practice address
- 13256 Poway Rd
Poway, CA 92064-4609 - Phone
- (858) 679-9368
- NPI assigned
- Mar 29, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC12693 | CA | Primary |
Addresses
Primary practice location
13256 Poway Rd
Poway, CA 92064-4609
Mailing address
13256 Poway Rd Ste B
Poway, CA 92064-4609
Phone (858) 679-9368
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC12693 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389830400000",
"number": "1346539400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13256 POWAY RD STE B",
"city": "POWAY",
"state": "CA",
"postal_code": "920644609",
"telephone_number": "858-679-9368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13256 POWAY RD",
"city": "POWAY",
"state": "CA",
"postal_code": "920644609",
"telephone_number": "858-679-9368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "LUYANG",
"credential": "AC12693",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-29",
"last_updated": "2014-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC12693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.