Individual provider Active NPI

Jiang Ru Tu, LAC PHD,OMD

  • Acupuncturist
  • Pinole, CA
National Provider Identifier
1407841257
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC4670 Issued in CA
Practice address
2801 Pinole Valley Rd
Ste 202
Pinole, CA 94564-1464
Phone
(510) 734-0467
Fax
(510) 235-5166
NPI assigned
Sep 19, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC4670 CA Primary

Addresses

Primary practice location

2801 Pinole Valley Rd
Ste 202
Pinole, CA 94564-1464

Mailing address

1833 Key Blvd
El Cerrito, CA 94530-1927
Phone (510) 235-5166

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
AC4670CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407841257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 KEY BLVD",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945301927",
            "telephone_number": "510-235-5166",
            "fax_number": "510-235-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 PINOLE VALLEY RD",
            "address_2": "STE 202",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945641464",
            "telephone_number": "510-734-0467",
            "fax_number": "510-235-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TU",
        "first_name": "JIANG",
        "middle_name": "RU",
        "name_prefix": "Dr.",
        "credential": "LAC PHD,OMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC4670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinole, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.