Jackie Fang-Yi Chan, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

20077 Issued in CA

Practice address

100 Oconnor Dr Ste 27
San Jose, CA 95128-1655

Phone

(408) 831-1038

NPI assigned

Nov 18, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Box Acupuncture and Traditional Chinese Medicine Inc.

  • Acupuncturist
  • San Jose, CA
  • NPI 1841719226
  NPD (past)

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1477378198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3178 HOSTETTER RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951321733",
            "telephone_number": "408-707-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OCONNOR DR STE 27",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281655",
            "telephone_number": "408-831-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JACKIE",
        "middle_name": "FANG-YI",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "20077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David W Chan, DDS
• Doylene Chan, PH.D.
• Grace Chan, PHARM. D.
• Hannah H Chan, RPH
• Hazra Chan
• Janette Chan, MSW
• Jeff H Chan, M.D
• Johnson Chan, MD
• Justin Kalok Chan, PT
• Kar Wei Chan

• 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 Nov 18, 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.