Active NPI
Everblossom Healthcare
- Acupuncturist
- San Jose, CA
National Provider Identifier
1407039118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC11253
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Ann Tung
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 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 DirectoryLocations
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.
-
- Acupuncturist
- Cupertino, CA
- NPI 1508054420
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.