Organization Active NPI

Azure Pearl Eastern Medicine

  • Acupuncturist
  • San Jose, CA
National Provider Identifier
1356182232
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
AZURE PEARL EASTERN MEDICINE
Practice address
100 Oconnor Dr Ste 27
San Jose, CA 95128-1655
Phone
(669) 269-5080
NPI assigned
Jun 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Yenjong TuNPI 1366958548
Title
Ceo
Phone
(669) 269-5080

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
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

100 Oconnor Dr Ste 27
San Jose, CA 95128-1655

Mailing address

PO Box 9312
San Jose, CA 95157-0312
Phone (669) 269-5080

National Provider Directory

National Provider Directory

Locations

100 Oconnor Dr
Ste 27
San Jose, CA 95128
Phone (408) 287-2225

Practitioners & affiliated clinicians

Practitioners 1

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": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1356182232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9312",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951570312",
            "telephone_number": "669-269-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OCONNOR DR STE 27",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281655",
            "telephone_number": "669-269-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZURE PEARL EASTERN MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "TU",
        "authorized_official_first_name": "YENJONG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "669-269-5080"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.