Individual provider Active NPI

Lijin Deng, LAC

  • Acupuncturist
  • San Jose, CA
National Provider Identifier
1467921528
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC18234 Issued in CA
Practice address
5131 Moorpark Ave Ste 303
San Jose, CA 95129-2100
Phone
(408) 597-2261
NPI assigned
Nov 19, 2018
Last updated
Nov 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC18234 CA Primary

Addresses

Primary practice location

5131 Moorpark Ave Ste 303
San Jose, CA 95129-2100

Mailing address

2050 Concourse Dr Ste 66
San Jose, CA 95131-1895
Phone (408) 597-2261

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

LicenseStateTypeSpecialty
AC18234CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Jun Yi Acupuncture Acupuncturist Current Accepting new patients
Cloud Well Acupuncture Professional Corporation Acupuncturist CurrentSince Feb 25, 2024 Accepting new patients

Locations

1590 Oakland Rd
Ste B100
San Jose, CA 95131
Phone (408) 315-3350

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1467921528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 CONCOURSE DR STE 66",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311895",
            "telephone_number": "408-597-2261",
            "fax_number": "408-904-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 MOORPARK AVE STE 303",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951292100",
            "telephone_number": "408-597-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENG",
        "first_name": "LIJIN",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC18234",
            "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 Nov 19, 2018; 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.