Springlight St.Mary's Acupuncture and Herbs, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SPRINGLIGHT ST.MARY'S ACUPUNCTURE AND HERBS, INC.

Practice address

6055 Meridian Ave Ste 30
San Jose, CA 95120-2700

Phone

(408) 966-5871

NPI assigned

Aug 16, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Chonghoon Pak, ACUPUNCTURISTNPI 1316602923

Title

C.E.O

Phone

(408) 966-5871

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chonghoon Pak

  • Acupuncturist
  • San Jose, CA
  • NPI 1316602923
  NPD Authorized official
• Chaokoa Victor Chang, LAC

  • Acupuncturist
  • Sunnyvale, CA
  • NPI 1598234791
  NPD (past)
• Jing Yi

  • Acupuncturist
  • Sunnyvale, CA
  • NPI 1144872144
  NPD (past)

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1376219808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 FLOWER GARDEN LN",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951246413",
            "telephone_number": "408-966-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6055 MERIDIAN AVE STE 30",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202700",
            "telephone_number": "408-966-5871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "877 W Fremont Ave Ste I3",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940872319",
            "country_code": "US",
            "telephone_number": "408-830-9002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6055 Meridian Ave Ste 30",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951202700",
            "country_code": "US",
            "telephone_number": "408-955-5871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPRINGLIGHT ST.MARY'S ACUPUNCTURE AND HERBS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "CHONGHOON",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "408-966-5871",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ACUPUNCTURIST"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Raynaud Sprauve, LMFT
• Spread Your Wings for Mental Health Inc (ACCESS Mental Health, Inc)
• Spread Your Wings LLC
• Spring River Home Health
• Alina Spring, MSW
• Delores Christina Springs, BA, MA, MHRS
• Rachel Gelberg Spronz
• Addy Squarer, MD
• Wendy E Squire, LAC
• Kyle Squyres

• Health Service Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.

Verify at the official NPI Registry.