Active NPI
William Chen, LAC
- Acupuncturist
- San Mateo, CA
National Provider Identifier
1417013939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC9853
- Practice address
- 30 S El Camino Real
#111
San Mateo, CA 94401-3839 - Phone
- (650) 235-6761
- Fax
- (650) 685-8081
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- 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 | AC9853 | CA | Primary |
Addresses
Primary practice location
30 S El Camino Real
#111
San Mateo, CA 94401-3839
Mailing address
1220 Sixth Ave
Ste a
Belmont, CA 94002-3899
Phone (650) 235-6761
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 615659000 | Other | FECA |
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 |
|---|---|---|---|
| AC9853 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330905600000",
"number": "1417013939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 SIXTH AVE",
"address_2": "STE A",
"city": "BELMONT",
"state": "CA",
"postal_code": "940023899",
"telephone_number": "650-235-6761",
"fax_number": "650-685-8081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 S EL CAMINO REAL",
"address_2": "#111",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013839",
"telephone_number": "650-235-6761",
"fax_number": "650-685-8081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "WILLIAM",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2012-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC9853",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FECA",
"identifier": "615659000",
"state": null
}
],
"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 Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.