Individual provider Active NPI

Teddy Yusuf, MSAOM, L.AC.

  • Acupuncturist
  • City of Industry, CA
National Provider Identifier
1356957195
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC15196 Issued in CA
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

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
AC15196CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
66 Acupuncture & Herbs, Inc. Acupuncturist PastSince Sep 20, 2020 Accepting new patients
Happy Valley Acupuncture & Herbal Center, Inc. Acupuncturist PastSince Sep 20, 2020 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.

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.

Verify at the official NPI Registry.