Active NPI
Paul Liguo Chen Sr., LAC OMD PHD
- Acupuncturist
- San Mateo, CA
National Provider Identifier
1407983729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC2458
- Practice address
- 1921 S El Camino Real
San Mateo, CA 94403-1321 - Phone
- (650) 573-1789
- Fax
- (650) 340-7188
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- No
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 | AC2458 | CA | Primary |
Addresses
Primary practice location
1921 S El Camino Real
San Mateo, CA 94403-1321
Mailing address
812 Peninsula Ave
Burlingame, CA 94010
Phone (650) 573-1789
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC2458 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407983729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 PENINSULA AVE",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "94010",
"telephone_number": "650-573-1789",
"fax_number": "650-340-7188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 S EL CAMINO REAL",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944031321",
"telephone_number": "650-573-1789",
"fax_number": "650-340-7188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "PAUL",
"middle_name": "LIGUO",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "LAC OMD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC2458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, 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.