Individual provider Active NPI

Jennifer Huang Tsai, L.AC., DC

  • Acupuncturist
  • Rancho Cucamonga, CA
National Provider Identifier
1386963825
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
13637 Issued in CA
Practice address
9135 Archibald Ave
Suite E
Rancho Cucamonga, CA 91730-5227
Phone
(909) 276-7168
Fax
(909) 218-2810
NPI assigned
May 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 13637 CA Primary
Chiropractor 111N00000X 31669 CA

Addresses

Primary practice location

9135 Archibald Ave
Suite E
Rancho Cucamonga, CA 91730-5227

Mailing address

9135 Archibald Ave
Suite E
Rancho Cucamonga, CA 91730-5227
Phone (909) 276-7168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100701000083 CA Practitioner - Chiropractic 3173654480 Practice locations: Rancho Cucamonga, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31669CAMDChiropractor
13637CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1386963825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9135 ARCHIBALD AVE",
            "address_2": "SUITE E",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305227",
            "telephone_number": "909-276-7168",
            "fax_number": "909-218-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 ARCHIBALD AVE",
            "address_2": "SUITE E",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305227",
            "telephone_number": "909-276-7168",
            "fax_number": "909-218-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAI",
        "first_name": "JENNIFER",
        "middle_name": "HUANG",
        "credential": "L.AC., DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13637",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.