Active NPI
Yu Gong, L.AC
- Acupuncturist
- Fremont, CA
National Provider Identifier
1437220696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC7042
- Practice address
- 43334 Bryant St
Suite 8
Fremont, CA 94539-5812 - Phone
- (510) 770-9389
- Fax
- (510) 770-9389
- NPI assigned
- Nov 10, 2006
- Sex
- Female
- 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 | AC7042 | CA | Primary |
Addresses
Primary practice location
43334 Bryant St
Suite 8
Fremont, CA 94539-5812
Mailing address
4363 San Juan Ave
Fremont, CA 94536-4735
Phone (510) 791-1855
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 |
|---|---|---|---|
| AC7042 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437220696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4363 SAN JUAN AVE",
"city": "FREMONT",
"state": "CA",
"postal_code": "945364735",
"telephone_number": "510-791-1855",
"fax_number": "510-791-1855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43334 BRYANT ST",
"address_2": "SUITE 8",
"city": "FREMONT",
"state": "CA",
"postal_code": "945395812",
"telephone_number": "510-770-9389",
"fax_number": "510-770-9389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONG",
"first_name": "YU",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC7042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, 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.