Individual provider Active NPI

Ashley Ro, AC

  • Acupuncturist
  • San Jose, CA
National Provider Identifier
1518301308
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC15197 Issued in CA
Practice address
1101 S Winchester Blvd Ste D138
San Jose, CA 95128
Phone
(408) 394-0288
Fax
(408) 217-8327
NPI assigned
Apr 23, 2013
Reactivated
Dec 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC15197 CA Primary

Addresses

Primary practice location

1101 S Winchester Blvd Ste D138
San Jose, CA 95128

Mailing address

1101 S Winchester Blvd Ste D138
San Jose, CA 95128-3914
Phone (408) 393-0157

Other practice location 1

7526 Rainbow Dr
Cupertino, CA 95014-5237
Phone (408) 393-0157

Other identifiers 1

IdentifierTypeStateIssuer
AC15197OtherCAACUPUNCTURIST

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

LicenseStateTypeSpecialty
AC15197CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
The Healing Wellness Center Past Accepting new patients
Ashley Ro Healing Alternative Medicine Acupuncturist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1518301308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S WINCHESTER BLVD STE D138",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283914",
            "telephone_number": "408-393-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S WINCHESTER BLVD STE D138",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "408-394-0288",
            "fax_number": "408-217-8327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7526 Rainbow Dr",
            "address_purpose": "LOCATION",
            "city": "Cupertino",
            "state": "CA",
            "postal_code": "950145237",
            "country_code": "US",
            "telephone_number": "408-393-0157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RO",
        "first_name": "ASHLEY",
        "credential": "AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2018-12-05",
        "deactivation_date": "2018-11-24",
        "reactivation_date": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURIST",
            "identifier": "AC15197",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.