Organization Active NPI

PCC Acupuncture Group

  • Acupuncturist
  • Canyon Lake, CA
National Provider Identifier
1447001300
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
PCC ACUPUNCTURE GROUP
Practice address
31740 Railroad Canyon Rd Ste 3
Canyon Lake, CA 92587-9490
Phone
(951) 244-7676
Fax
(951) 244-5757
NPI assigned
Mar 28, 2024
Last updated
Mar 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Dr. Tina Yan Li, PHDNPI 1245678275
Title
Acupuncturist
Phone
(951) 244-7676

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 NU Primary

Addresses

Primary practice location

31740 Railroad Canyon Rd Ste 3
Canyon Lake, CA 92587-9490

Mailing address

31740 Railroad Canyon Rd Ste 3
Canyon Lake, CA 92587-9490
Phone (951) 244-7676

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, 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": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1447001300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31740 RAILROAD CANYON RD STE 3",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925879490",
            "telephone_number": "951-244-7676",
            "fax_number": "951-244-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31740 RAILROAD CANYON RD STE 3",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925879490",
            "telephone_number": "951-244-7676",
            "fax_number": "951-244-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCC ACUPUNCTURE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "TINA YAN",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "951-244-7676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.