Active NPI
Teddy Yusuf, MSAOM, L.AC.
- Acupuncturist
- City of Industry, CA
National Provider Identifier
1356957195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC15196
- Practice address
- 17595 Almahurst St Ste 230
City of Industry, CA 91748-1799 - Phone
- (626) 839-5697
- NPI assigned
- Sep 17, 2020
- Sex
- Male
- Sole proprietor
- No
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 | AC15196 | CA | Primary |
Addresses
Primary practice location
17595 Almahurst St Ste 230
City of Industry, CA 91748-1799
Mailing address
17595 Almahurst St Ste 230
City of Industry, CA 91748-1799
Phone (626) 839-5697
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 |
|---|---|---|---|
| AC15196 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 66 Acupuncture & Herbs, Inc. | Acupuncturist | Past | Accepting new patients |
| Happy Valley Acupuncture & Herbal Center, Inc. | Acupuncturist | Past | Accepting new patients |
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.
-
- Acupuncturist
- City of Industry, CA
- NPI 1821561804
-
- Acupuncturist
- City of Industry, CA
- NPI 1629350533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602460800000",
"number": "1356957195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17595 ALMAHURST ST STE 230",
"city": "CITY OF INDUSTRY",
"state": "CA",
"postal_code": "917481799",
"telephone_number": "626-839-5697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17595 ALMAHURST ST STE 230",
"city": "CITY OF INDUSTRY",
"state": "CA",
"postal_code": "917481799",
"telephone_number": "626-839-5697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUSUF",
"first_name": "TEDDY",
"credential": "MSAOM, L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-17",
"last_updated": "2020-10-12",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC15196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in City of Industry, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.