Organization Active NPI

Evergreen Wellness

  • Acupuncturist
  • Sacramento, CA
National Provider Identifier
1508305160
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 16945 Issued in CA
Legal business name
EVERGREEN WELLNESS
Practice address
1924 Del Paso Rd Ste B
Sacramento, CA 95834-7714
Phone
(916) 833-2682
NPI assigned
Feb 15, 2017
Organization subpart
Yes
Parent organization
HCH 888 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Feng Yun He
Title
Member
Phone
(916) 833-2682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC 16945 CA Primary

Addresses

Primary practice location

1924 Del Paso Rd Ste B
Sacramento, CA 95834-7714

Mailing address

1924 Del Paso Rd Ste B
Sacramento, CA 95834-7714

National Provider Directory

National Provider Directory
Part of
Evergreen Wellness

Locations

1924 Del Paso Rd
Ste B
Sacramento, CA 95834
Phone (916) 616-7001

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1508305160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 DEL PASO RD STE B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958347714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 DEL PASO RD STE B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958347714",
            "telephone_number": "916-833-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HCH 888 LLC",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "HE",
        "authorized_official_first_name": "FENG YUN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "916-833-2682"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 16945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.