Organization Active NPI

Way of Wellness Healthcare Inc.

  • Acupuncturist
  • San Jose, CA
National Provider Identifier
1417606849
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
WAY OF WELLNESS HEALTHCARE INC.
Practice address
940 Saratoga Ave Ste 104
San Jose, CA 95129-3409
Phone
(408) 615-1995
Fax
(408) 615-1999
NPI assigned
Mar 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Authorized official

Name
Dr. Shasta Ericson, L.AC., D.A.O.M.NPI 1912067521
Title
Ceo
Phone
(408) 615-1995

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
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

940 Saratoga Ave Ste 104
San Jose, CA 95129-3409

Mailing address

4719 Atherton Ave Apt 16
San Jose, CA 95130-1002
Phone (408) 615-1995

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1417606849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4719 ATHERTON AVE APT 16",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951301002",
            "telephone_number": "408-615-1995",
            "fax_number": "408-615-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 SARATOGA AVE STE 104",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293409",
            "telephone_number": "408-615-1995",
            "fax_number": "408-615-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAY OF WELLNESS HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "ERICSON",
        "authorized_official_first_name": "SHASTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-615-1995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC., D.A.O.M."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.