Active NPI
Jackson Chau, LAC
- Other Specialist/Technologist
- San Francisco, CA
National Provider Identifier
1518042977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- License
- LAC5040
- Practice address
- 4117 Judah Stree
San Francisco, CA 94122-1124 - Phone
- (415) 566-0832
- Fax
- (415) 566-0832
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | LAC5040 | CA | Primary |
Addresses
Primary practice location
4117 Judah Stree
San Francisco, CA 94122-1124
Mailing address
4117 Judah St
San Francisco, CA 94122-1124
Phone (415) 566-0832
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LAC5040 | Other | CA | ACUPUNCTURISTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAC5040 | CA | MD | Other Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518042977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4117 JUDAH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941221124",
"telephone_number": "415-566-0832",
"fax_number": "415-566-0832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4117 JUDAH STREE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941221124",
"telephone_number": "415-566-0832",
"fax_number": "415-566-0832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAU",
"first_name": "JACKSON",
"name_prefix": "Mr.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "CA",
"license": "LAC5040",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURISTS",
"identifier": "LAC5040",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.