Organization Active NPI

Chinn Qigong & Acupuncture

  • Acupuncturist
  • Walnut Creek, CA
National Provider Identifier
1376998518
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC13669 Issued in CA
Legal business name
CHINN QIGONG & ACUPUNCTURE
Practice address
130 La Casa Via Ste 101
Walnut Creek, CA 94598-3065
Phone
(925) 759-2319
Fax
(925) 687-1990
NPI assigned
Apr 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Mr. Jacob Chinn, L.AC, MSTCM, CMQ
Title
Owner/Operator & Qigong Healer
Phone
(925) 759-2319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC13669 CA Primary

Addresses

Primary practice location

130 La Casa Via Ste 101
Walnut Creek, CA 94598-3065

Mailing address

130 La Casa Via Ste 101
Walnut Creek, CA 94598-3065
Phone (925) 759-2319

Other names 1

  • Chinn Chinese Medicine & Acupuncture, Inc. Other name

National Provider Directory

National Provider Directory

Locations

130 La Casa Via
Ste 101
Walnut Creek, CA 94598
Phone (925) 759-2319

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1376998518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LA CASA VIA STE 101",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983065",
            "telephone_number": "925-759-2319",
            "fax_number": "925-687-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LA CASA VIA STE 101",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983065",
            "telephone_number": "925-759-2319",
            "fax_number": "925-687-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINN QIGONG & ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "CHINN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER/OPERATOR & QIGONG HEALER",
        "authorized_official_telephone_number": "925-759-2319",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC, MSTCM, CMQ"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chinn Chinese Medicine & Acupuncture, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.