Blue Sea Wellness Clinic

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

BLUE SEA WELLNESS CLINIC

Practice address

12131 Alcosta Blvd
San Ramon, CA 94583-2652

Phone

(408) 930-1585

NPI assigned

May 6, 2014

Organization subpart

No

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

Authorized official

Name

Kun Xia

Title

Office Manager

Phone

(408) 930-1585

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1558771931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12131 ALCOSTA BLVD",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12131 ALCOSTA BLVD",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832652",
            "telephone_number": "408-930-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SEA WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "XIA",
        "authorized_official_first_name": "KUN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "408-930-1585"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.