Active NPI
Cong Hu, LAC OMD
- Acupuncturist
- San Mateo, CA
National Provider Identifier
1568639110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC11955
- Practice address
- 2304 S El Camino Real
San Mateo, CA 94403 - Phone
- (408) 481-1767
- Fax
- (408) 481-1767
- NPI assigned
- May 13, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC11955 | CA | Primary |
Addresses
Primary practice location
2304 S El Camino Real
San Mateo, CA 94403
Mailing address
930 W Remington Dr
Apt 5B
Sunnyvale, CA 94087
Phone (408) 481-1767
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 |
|---|---|---|---|
| AC11955 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moon Acupuncture Inc | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Santa Clara, CA
- NPI 1598442907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1568639110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 W REMINGTON DR",
"address_2": "APT 5B",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "94087",
"telephone_number": "408-481-1767",
"fax_number": "408-481-1767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2304 S EL CAMINO REAL",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "94403",
"telephone_number": "408-481-1767",
"fax_number": "408-481-1767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HU",
"first_name": "CONG",
"credential": "LAC OMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-13",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC11955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.