Organization Active NPI

Everblossom Healthcare

  • Acupuncturist
  • San Jose, CA
National Provider Identifier
1407039118
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC11253 Issued in CA
Legal business name
EVERBLOSSOM HEALTHCARE
Practice address
1084 S de Anza Blvd. Suite a
San Jose, CA 95129
Phone
(408) 410-7821
Fax
(408) 253-2842
NPI assigned
Dec 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Authorized official

Name
Ms. Ann TungNPI 1508054420
Title
Owner
Phone
(408) 410-7821

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC11253 CA Primary
Exclusive Provider Organization 302F00000X AC11253 CA

Addresses

Primary practice location

1084 S de Anza Blvd. Suite a
San Jose, CA 95129

Mailing address

12111 Kirkbrook Dr
Saratoga, CA 95070
Phone (408) 410-7821

National Provider Directory

National Provider Directory

Locations

1084 S De Anza Blvd
Ste A
San Jose, CA 95129
Phone (408) 410-7821

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1407039118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12111 KIRKBROOK DR",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "95070",
            "telephone_number": "408-410-7821",
            "fax_number": "408-253-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 S DE ANZA BLVD. SUITE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95129",
            "telephone_number": "408-410-7821",
            "fax_number": "408-253-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERBLOSSOM HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "TUNG",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-410-7821",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11253",
            "primary": true
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "AC11253",
            "primary": false
        }
    ],
    "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 Aug 22, 2008; 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.