Individual provider Active NPI

Juiping Liao, L. AC., PH.D.

  • Acupuncturist
  • San Jose, CA
National Provider Identifier
1447864517
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC18748 Issued in CA
Practice address
1340 S de Anza Blvd Ste 104
San Jose, CA 95129-4644
Phone
(408) 579-1913
NPI assigned
Sep 4, 2020
Reactivated
Jul 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC18748 CA Primary

Addresses

Primary practice location

1340 S de Anza Blvd Ste 104
San Jose, CA 95129-4644

Mailing address

6151 Plymouth Ave
San Jose, CA 95129-4737
Phone (408) 579-9139

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
AC18748CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1447864517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6151 PLYMOUTH AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951294737",
            "telephone_number": "408-579-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 S DE ANZA BLVD STE 104",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951294644",
            "telephone_number": "408-579-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAO",
        "first_name": "JUIPING",
        "name_prefix": "Dr.",
        "credential": "L. AC., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "deactivation_date": "2020-09-09",
        "reactivation_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC18748",
            "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 Jul 12, 2021; 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.