NPIMap

Organization Active NPI

Act Acupuncture Clinic Corp

  • Clinic/Center
  • Fremont, CA
National Provider Identifier
1396053294
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
AC4672 Issued in CA
Legal business name
ACT ACUPUNCTURE CLINIC CORP
Practice address
40788 Fremont Blvd
Fremont, CA 94538-4373
Phone
(510) 440-1088
Fax
(510) 979-0618
NPI assigned
Sep 14, 2010
Last updated
Sep 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Ms. Aiqun Wang, L.ACNPI 1831262682
Title
Acupuncturist
Phone
(510) 440-1088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AC4672 CA Primary

Addresses

Primary practice location

40788 Fremont Blvd
Fremont, CA 94538-4373

Mailing address

40788 Fremont Blvd
Fremont, CA 94538-4373
Phone (510) 440-1088

National Provider Directory

National Provider Directory

Locations

40788 Fremont Blvd
Fremont, CA 94538
Phone (510) 440-1088

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1396053294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40788 FREMONT BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945384373",
            "telephone_number": "510-440-1088",
            "fax_number": "510-979-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40788 FREMONT BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945384373",
            "telephone_number": "510-440-1088",
            "fax_number": "510-979-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACT ACUPUNCTURE CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "AIQUN",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "510-440-1088",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "AC4672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.