Organization Active NPI

Moon Wood Acupuncture Inc.

  • Acupuncturist
  • Ceres, CA
National Provider Identifier
1508612854
Registry record updated Apr 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
MOON WOOD ACUPUNCTURE INC.
Practice address
1768 Mitchell Rd Ste 304
Ceres, CA 95307-2156
Phone
(209) 895-1188
NPI assigned
Apr 27, 2024
Last updated
Apr 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2024

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

Authorized official

Name
Nancy Tuyen Nguyen, LACNPI 1639820269
Title
President
Phone
(209) 895-1188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1768 Mitchell Rd Ste 304
Ceres, CA 95307-2156

Mailing address

1768 Mitchell Rd Ste 304
Ceres, CA 95307-2156
Phone (209) 895-1188

National Provider Directory

National Provider Directory

Locations

1768 Mitchell Rd
Ste 304
Ceres, CA 95307
Phone (209) 895-1188

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714176000000",
    "number": "1508612854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1768 MITCHELL RD STE 304",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953072156",
            "telephone_number": "209-895-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1768 MITCHELL RD STE 304",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953072156",
            "telephone_number": "209-895-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON WOOD ACUPUNCTURE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-27",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "TUYEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-895-1188",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ceres, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.