Organization Active NPI

Summit Acupuncture & Herbs

  • Acupuncturist
  • Tustin, CA
National Provider Identifier
1508636093
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SUMMIT ACUPUNCTURE & HERBS
Practice address
17621 Irvine Blvd # 118
Tustin, CA 92780-3114
Phone
(949) 346-1619
NPI assigned
Jan 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Ellen C Zhang, L.AC.NPI 1518632793
Title
Owner
Phone
(626) 838-7452

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

17621 Irvine Blvd # 118
Tustin, CA 92780-3114

Mailing address

17621 Irvine Blvd # 118
Tustin, CA 92780-3114
Phone (949) 346-1619

Other names 1

  • Summit Acupuncture & Herbs Doing business as

National Provider Directory

National Provider Directory

Locations

17621 Irvine Blvd
#118
Tustin, CA 92780
Phone (949) 346-1619

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1508636093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17621 IRVINE BLVD # 118",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803114",
            "telephone_number": "949-346-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17621 IRVINE BLVD # 118",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803114",
            "telephone_number": "949-346-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT ACUPUNCTURE & HERBS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-838-7452",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Acupuncture & Herbs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.