Longevity Medical Center

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC15777 Issued in CA

Legal business name

LONGEVITY MEDICAL CENTER

Practice address

1630 Oakland Rd Ste A115
San Jose, CA 95131-2461

Phone

(408) 982-5290

NPI assigned

Jul 9, 2014

Organization subpart

No

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

Authorized official

Name

Grace Yu

Title

Manager

Phone

(415) 812-6527

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Stephen Yip

  • Acupuncturist
  • San Jose, CA
  • NPI 1073994331
  NPD (past)

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1518373620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 OAKLAND RD STE A115",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312461",
            "telephone_number": "408-982-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 OAKLAND RD STE A115",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312461",
            "telephone_number": "408-982-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "415-812-6527"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Aaron Long
• Stephanie K Long, PHARM. D
• Susan Long, DO
• Angelica Longa
• Longevity Hall
• Aaron Longinotti, AMFT
• Longs Drug Stores California LLC (CVS Pharmacy #09808)
• Longs Drug Stores California LLC (CVS Pharmacy#09995)
• Longs Drug Stores California LLC (CVS Pharmacy #09395)
• Longs Drug Stores California LLC

• Acupuncturist in San Jose, CA
• Providers in San Jose, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.