Active NPI
Liqin Sun
- Acupuncturist
- San Gabriel, CA
National Provider Identifier
1407974330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC5652
- Practice address
- 1720 S San Gabriel Blvd
Suite #106
San Gabriel, CA 91776-3937 - Phone
- (626) 280-6389
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC5652 | CA | Primary |
Addresses
Primary practice location
1720 S San Gabriel Blvd
Suite #106
San Gabriel, CA 91776-3937
Mailing address
1720 S San Gabriel Blvd
Suite #106
San Gabriel, CA 91776-3937
Phone (626) 280-6389
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0243933 | Medicaid | CA | |
| AC0056521 | Other | CA | MEDI-CAL PROVIDER NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC5652 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1407974330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 S SAN GABRIEL BLVD",
"address_2": "SUITE #106",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917763937",
"telephone_number": "626-280-6389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 S SAN GABRIEL BLVD",
"address_2": "SUITE #106",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917763937",
"telephone_number": "626-280-6389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUN",
"first_name": "LIQIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC5652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0243933",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL PROVIDER NUMBER",
"identifier": "AC0056521",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.