Individual provider Active NPI

Dafang Zeng, OMD., LAC.

  • Acupuncturist
  • Walnut, CA
National Provider Identifier
1417069386
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC4745 Issued in CA
Practice address
20635 Valley Blvd
#D
Walnut, CA 91789-2744
Phone
(909) 444-9088
Fax
(909) 595-9526
NPI assigned
Aug 31, 2006
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 AC4745 CA Primary

Addresses

Primary practice location

20635 Valley Blvd
#D
Walnut, CA 91789-2744

Mailing address

20635 Valley Blvd
#D
Walnut, CA 91789-2744
Phone (909) 444-9088

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

LicenseStateTypeSpecialty
AC4745CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417069386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20635 VALLEY BLVD",
            "address_2": "#D",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892744",
            "telephone_number": "909-444-9088",
            "fax_number": "909-595-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20635 VALLEY BLVD",
            "address_2": "#D",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892744",
            "telephone_number": "909-444-9088",
            "fax_number": "909-595-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENG",
        "first_name": "DAFANG",
        "credential": "OMD., LAC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC4745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut, 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.