Patty Johnson's Acupuncture and Herbs

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

AC 8096 Issued in CA

Legal business name

PATTY JOHNSON'S ACUPUNCTURE AND HERBS

Practice address

8645 Haven Ave Ste 550
Rancho Cucamonga, CA 91730-4865

Phone

(909) 989-3223

Fax

(909) 989-4430

NPI assigned

Jul 17, 2015

Last updated

Jul 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Patty Jo Johnson, L.AC.NPI 1891856993

Title

Owner

Phone

(909) 989-3223

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Patty Jo Johnson, L.AC.

  • Acupuncturist
  • Rancho Cucamonga, CA
  • NPI 1891856993
  Authorized official Same address or phone

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1427432533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8645 HAVEN AVE STE 550",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304865",
            "telephone_number": "909-989-3223",
            "fax_number": "909-989-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8645 HAVEN AVE STE 550",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304865",
            "telephone_number": "909-989-3223",
            "fax_number": "909-989-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTY JOHNSON'S ACUPUNCTURE AND HERBS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PATTY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-989-3223",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "AC 8096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPECIALTY HEALTH",
            "identifier": "1030692",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrice Scott LMFT
• Brandi Patterson
• Kerry Patterson
• Tierra Monique Patterson
• Robert Joseph Patton, D.C.
• Paul Kim Optometry Rancho Cucamonga a Professional Corporation
• Paul S Chang Dental Group, Inc. (Wonderful Life Dental)
• Alexis Paulnitz
• Chase Pavlich
• Athanase Pavlidis, LMFT

• Clinic/Center in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.