Individual provider Active NPI

Fei Ji Sr., ACUPUNCTURIST

  • Acupuncturist
  • Walnut, CA
National Provider Identifier
1366863391
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC15638 Issued in CA
Practice address
21076 Sandpiper St
Walnut, CA 91789-2050
Phone
(626) 922-1855
Fax
(626) 922-1855
NPI assigned
Dec 17, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC15638 CA Primary

Addresses

Primary practice location

21076 Sandpiper St
Walnut, CA 91789-2050

Mailing address

21076 Sandpiper St
Walnut, CA 91789-2050
Phone (626) 922-1855

Other identifiers 1

IdentifierTypeStateIssuer
AC15683OtherCAACUPUNCTURIST

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
AC15638CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1366863391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21076 SANDPIPER ST",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892050",
            "telephone_number": "626-922-1855",
            "fax_number": "626-922-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21076 SANDPIPER ST",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892050",
            "telephone_number": "626-922-1855",
            "fax_number": "626-922-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JI",
        "first_name": "FEI",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURIST",
            "identifier": "AC15683",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.