Evergreen Acupunture Clinic

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC7393 Issued in CA

Legal business name

EVERGREEN ACUPUNTURE CLINIC

Practice address

2040 Forest Ave
Suite 8
San Jose, CA 95128-4816

Phone

(408) 288-8238

Fax

(408) 369-8866

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Sandy Hong Wong, LAC

Title

President/Acupunturist

Phone

(408) 288-8238

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447361597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 FOREST AVE",
            "address_2": "SUITE 8",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284816",
            "telephone_number": "408-288-8238",
            "fax_number": "408-369-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 FOREST AVE",
            "address_2": "SUITE 8",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284816",
            "telephone_number": "408-288-8238",
            "fax_number": "408-369-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN ACUPUNTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "HONG",
        "authorized_official_title_or_position": "PRESIDENT/ACUPUNTURIST",
        "authorized_official_telephone_number": "408-288-8238",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC7393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Marie Everett, DDS
• Derik Jamon Everett Sr.
• Elizabeth Gabriela Everett
• T.C. N/a Everett Jr.
• Wendy Everett
• Evergreen Cardiology Group, Inc
• Evergreen Elementary School District
• Evergreen Eyecare Optometry Inc.
• Evergreen Golden Health Center a Medical Corporation
• Evergreen Hematology Oncology Associates

• Acupuncturist in San Jose, CA
• Providers in San Jose, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.