Individual provider Active NPI

Xinming Liu

  • Acupuncturist
  • San Jose, CA
National Provider Identifier
1396581575
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC20118 Issued in CA
Practice address
5043 Graves Ave Ste F
San Jose, CA 95129-5103
Phone
(650) 960-5673
NPI assigned
Jul 8, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC20118 CA Primary

Addresses

Primary practice location

5043 Graves Ave Ste F
San Jose, CA 95129-5103

Mailing address

5824 E Teague Ave
Clovis, CA 93619-9521
Phone (559) 818-8722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC20118CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
La Vita Clinic Acupuncturist CurrentSince Jul 28, 2025 Accepting new patients

Locations

2900 Broadway
Ste 3
Redwood City, CA 94062
Phone (415) 650-9978

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1396581575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5824 E TEAGUE AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936199521",
            "telephone_number": "559-818-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5043 GRAVES AVE STE F",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951295103",
            "telephone_number": "650-960-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "XINMING",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC20118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.