Individual provider Active NPI

Jackie Liang Zhang Sr., DOA,.PH.D.

  • Acupuncturist
  • Arcadia, CA
National Provider Identifier
1366815771
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU14189 Issued in CA
Practice address
650 West Duarte Road , # 168
Arcadia, CA 91007
Phone
(626) 203-9321
Fax
(626) 446-3168
NPI assigned
Nov 6, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACU14189 CA Primary

Addresses

Primary practice location

650 West Duarte Road , # 168
Arcadia, CA 91007

Mailing address

650 West Duarte Road , # 168
Arcadia, CA 91007
Phone (626) 203-9321

Other identifiers 1

IdentifierTypeStateIssuer
AC14189OtherCAACUPUNCTURE

Other names 1

  • Dr. Jackie Liang Zhang Professional name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
ACU14189CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunflower TCM Health Center Acupuncturist Past Accepting new patients
Sunflower TCM Health 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.

NPI Registry JSON

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1366815771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 WEST DUARTE ROAD , # 168",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "91007",
            "telephone_number": "626-203-9321",
            "fax_number": "626-203-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 WEST DUARTE ROAD , # 168",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "91007",
            "telephone_number": "626-203-9321",
            "fax_number": "626-446-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "JACKIE",
        "middle_name": "LIANG",
        "name_suffix": "Sr.",
        "credential": "DOA,.PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "ACU14189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "AC14189",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "ZHANG",
            "middle_name": "LIANG",
            "prefix": "DR.",
            "credential": "DR.JACKIE ZHANG",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.