Active NPI
Yenjong Tu
- Acupuncturist
- San Jose, CA
National Provider Identifier
1366958548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC17815
- Practice address
- 100 Oconnor Dr Ste 27
San Jose, CA 95128-1655 - Phone
- (669) 269-5080
- NPI assigned
- Dec 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | AC17815 | CA | Primary |
Addresses
Primary practice location
100 Oconnor Dr Ste 27
San Jose, CA 95128-1655
Mailing address
PO Box 9312
San Jose, CA 95157-0312
Phone (669) 269-5080
Other names 1
- Yen Jong Tu
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 |
|---|---|---|---|
| AC17815 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Azure Pearl Eastern Medicine | Acupuncturist | Current | Accepting new patients |
Locations
100 Oconnor Dr
Ste 27
San Jose, CA 95128
Phone (408) 287-2225
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
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
- San Jose, CA
- NPI 1356182232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1366958548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9312",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951570312",
"telephone_number": "669-269-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 OCONNOR DR STE 27",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951281655",
"telephone_number": "669-269-5080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TU",
"first_name": "YENJONG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-24",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC17815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YEN",
"last_name": "TU",
"middle_name": "JONG",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.