Individual provider Active NPI

Qinqin Ren, ACUPUNCTURIST

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1528670296
Registry record updated Aug 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC18903 Issued in CA
Practice address
400 N Ford Blvd
Los Angeles, CA 90022-1122
Phone
(530) 760-6354
NPI assigned
Aug 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC18903 CA Primary

Addresses

Primary practice location

400 N Ford Blvd
Los Angeles, CA 90022-1122

Mailing address

1625 W Flower Ave
Fullerton, CA 92833-3818
Phone (530) 760-6354

Other practice location 1

1905 E 17th St Ste 309
Santa Ana, CA 92705-8697
Phone (530) 760-6354

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
AC18903CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1598140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598140800000",
    "number": "1528670296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 W FLOWER AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928333818",
            "telephone_number": "530-760-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N FORD BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221122",
            "telephone_number": "530-760-6354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 E 17th St Ste 309",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927058697",
            "country_code": "US",
            "telephone_number": "530-760-6354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REN",
        "first_name": "QINQIN",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-23",
        "last_updated": "2020-08-23",
        "certification_date": "2020-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC18903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2020; 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.