Organization Active NPI

TLC Reach Balance Medical Clinic, Inc.

  • Acupuncturist
  • Pleasanton, CA
National Provider Identifier
1508102740
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC-15083 Issued in CA
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

Updated by the provider on Dec 17, 2012

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)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 739628 CA
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.