Nathan NG, MSTCM, DACM, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC18013 Issued in CA

Practice address

1700 Shattuck Ave Ste 2
Berkeley, CA 94709-3401

Phone

(415) 813-7688

NPI assigned

Jun 1, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1366934689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2567 47TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941162606",
            "telephone_number": "415-813-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SHATTUCK AVE STE 2",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947093401",
            "telephone_number": "415-813-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "NATHAN",
        "credential": "MSTCM, DACM, L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC18013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tobirus Mozelle Newby, TOBIRUS NEWBY
• Gilbert H Newman, PH.D.
• Harold Saul Newman, M.D.
• Shelli Newman, AUD
• Alexander David Newton, DO
• Tiffany Ngan
• Emekam Ngene
• Eric Nghe, RN
• Brittany Ngia
• Carol Ngar Ngo, D.C.

• Acupuncturist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.