Active NPI
Dia Mac, AC
- Acupuncturist
- San Jose, CA
National Provider Identifier
1497853824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC3406
- Practice address
- 3005 Silver Creek Rd #142
San Jose, CA 95121-0005 - Phone
- (408) 227-9088
- Fax
- (408) 227-9102
- NPI assigned
- Sep 20, 2006
- Last updated
- Nov 22, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC3406 | CA | Primary |
Addresses
Primary practice location
3005 Silver Creek Rd #142
San Jose, CA 95121-0005
Mailing address
3005 Silver Creek #142
San Jose, CA 95121
Phone (408) 227-9088
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC3406 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mac Dia | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
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": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290384000000",
"number": "1497853824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 SILVER CREEK #142",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95121",
"telephone_number": "408-227-9088",
"fax_number": "408-227-9102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 SILVER CREEK RD #142",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951210005",
"telephone_number": "408-227-9088",
"fax_number": "408-227-9102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAC",
"first_name": "DIA",
"credential": "AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2010-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC3406",
"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 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.