Empire Traditional Chinese Medicine

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 9474 Issued in CA

Legal business name

EMPIRE TRADITIONAL CHINESE MEDICINE

Practice address

1030 Second St
Santa Rosa, CA 95404

Phone

(707) 978-6465

Fax

(707) 202-6898

NPI assigned

Mar 20, 2017

Organization subpart

No

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

Authorized official

Name

Michael Johnston, L.AC.

Title

Licensed Acupuncturist

Phone

(707) 978-6465

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1376084699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SECOND ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95404",
            "telephone_number": "707-978-6465",
            "fax_number": "707-202-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SECOND ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95404",
            "telephone_number": "707-978-6465",
            "fax_number": "707-202-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE TRADITIONAL CHINESE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "707-978-6465",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 9474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Sidney Emison
• Sara Emmanuel
• Emily Kathleen Emmerson, LMFT
• Debi M. Emmons
• Empire Eye Doctors Medical Group Inc
• Veronica Encinas, MFTI
• Araceli Encizo-Gonzalez
• Alexander Scott Endicott, LVN
• Endoscopy Center of Santa Rosa
• Paige M Engberg

• Acupuncturist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.