Organization Active NPI

Folsom Chinese Acupuncture Center

  • Acupuncturist
  • Folsom, CA
National Provider Identifier
1407148117
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 8197 Issued in CA
Legal business name
FOLSOM CHINESE ACUPUNCTURE CENTER
Practice address
1671 Creekside Dr
Suite 103
Folsom, CA 95630-3890
Phone
(916) 984-6608
Fax
(916) 984-3809
NPI assigned
May 12, 2011
Last updated
May 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Authorized official

Name
Karen Pan, L. AC., PH.D.NPI 1720169030
Title
Ceo
Phone
(916) 984-6608

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC 8197 CA Primary

Addresses

Primary practice location

1671 Creekside Dr
Suite 103
Folsom, CA 95630-3890

Mailing address

1671 Creekside Dr
Suite 103
Folsom, CA 95630-3890
Phone (916) 984-6608

National Provider Directory

National Provider Directory

Locations

1671 Creekside Dr
Ste 103
Folsom, CA 95630
Phone (916) 984-6608

Practitioners & affiliated clinicians

Practitioners 1

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": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1407148117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 CREEKSIDE DR",
            "address_2": "SUITE 103",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303890",
            "telephone_number": "916-984-6608",
            "fax_number": "916-984-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 CREEKSIDE DR",
            "address_2": "SUITE 103",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303890",
            "telephone_number": "916-984-6608",
            "fax_number": "916-984-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOLSOM CHINESE ACUPUNCTURE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "PAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-984-6608",
        "authorized_official_credential": "L. AC., PH.D."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 8197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.