Active NPI
TLC Reach Balance Medical Clinic, Inc.
- Acupuncturist
- Pleasanton, CA
National Provider Identifier
1508102740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC-15083
- Legal business name
- TLC REACH BALANCE MEDICAL CLINIC, INC.
- Practice address
- 5890 Stoneridge Dr Unit 215
Pleasanton, CA 94588-5818 - Phone
- (848) 391-8686
- NPI assigned
- Dec 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiling Chen-Chiang, L. AC.
- Title
- President
- Phone
- (848) 391-8686
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 739628 | CA | |
| Acupuncturist | 171100000X | AC-15083 | CA | Primary |
Addresses
Primary practice location
5890 Stoneridge Dr Unit 215
Pleasanton, CA 94588-5818
Mailing address
PO Box 3485
Fremont, CA 94539-0348
National Provider Directory
National Provider DirectoryLocations
5890 Stoneridge Dr
Ste 215
Pleasanton, CA 94588
Phone (848) 391-8686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355702400000",
"number": "1508102740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3485",
"city": "FREMONT",
"state": "CA",
"postal_code": "945390348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5890 STONERIDGE DR UNIT 215",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945885818",
"telephone_number": "848-391-8686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TLC REACH BALANCE MEDICAL CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-17",
"last_updated": "2012-12-17",
"status": "A",
"authorized_official_last_name": "CHEN-CHIANG",
"authorized_official_first_name": "TILING",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "848-391-8686",
"authorized_official_credential": "L. AC."
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "CA",
"license": "739628",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC-15083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.