Organization Active NPI

Blossom Acupuncture Inc

  • Acupuncturist
  • Oakland, CA
National Provider Identifier
1467800607
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC15226 Issued in CA
Legal business name
BLOSSOM ACUPUNCTURE INC
Practice address
1904 Franklin St Ste 240
Oakland, CA 94612-2929
Phone
(510) 863-0189
NPI assigned
May 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Jane Tong DeloreNPI 1538595988
Title
President
Phone
(510) 863-0189

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC15226 CA Primary

Addresses

Primary practice location

1904 Franklin St Ste 240
Oakland, CA 94612-2929

Mailing address

1904 Franklin St Ste 240
Oakland, CA 94612-2929
Phone (510) 863-0189

National Provider Directory

National Provider Directory

Locations

1904 Franklin St
Ste 240
Oakland, CA 94612
Phone (510) 863-0189

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1467800607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 FRANKLIN ST STE 240",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122929",
            "telephone_number": "510-863-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 FRANKLIN ST STE 240",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122929",
            "telephone_number": "510-863-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM ACUPUNCTURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "TONG DELORE",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-863-0189"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.