Organization Active NPI

Sunshine Holistic Wellness Center LLC

  • Acupuncturist
  • Santa Clara, CA
National Provider Identifier
1417340894
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC12136 Issued in CA
Legal business name
SUNSHINE HOLISTIC WELLNESS CENTER LLC
Practice address
3375 Scott Blvd Ste 204
Santa Clara, CA 95054-3112
Phone
(408) 215-1683
NPI assigned
Mar 10, 2015
Last updated
Mar 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Xin Chang, L.ACNPI 1336572379
Title
Ceo
Phone
(408) 215-1683

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC12136 CA Primary

Addresses

Primary practice location

3375 Scott Blvd Ste 204
Santa Clara, CA 95054-3112

Mailing address

3375 Scott Blvd Ste 204
Santa Clara, CA 95054-3112
Phone (408) 215-1683

National Provider Directory

National Provider Directory

Locations

3375 Scott Blvd
Ste 204
Santa Clara, CA 95054
Phone (408) 215-1683

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1417340894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 SCOTT BLVD STE 204",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950543112",
            "telephone_number": "408-215-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 SCOTT BLVD STE 204",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950543112",
            "telephone_number": "408-215-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE HOLISTIC WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "XIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-215-1683",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.