Elim Medical Group

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC16042 Issued in CA

Legal business name

ELIM MEDICAL GROUP

Practice address

522 W Fremont Ave
Apt. 4
Sunnyvale, CA 94087-3200

Phone

(408) 828-3055

NPI assigned

May 14, 2014

Last updated

May 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Fandi Jin

Title

Owner

Phone

(408) 329-9968

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, and the practitioner matching its NPPES authorized official.

• Aiping Liu

  • Acupuncturist
  • San Jose, CA
  • NPI 1033520085
  NPD (past)

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1568873495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 SCOTT BLVD",
            "address_2": "BLDG. 58-2",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950543104",
            "telephone_number": "408-329-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W FREMONT AVE",
            "address_2": "APT. 4",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873200",
            "telephone_number": "408-828-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIM MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "JIN",
        "authorized_official_first_name": "FANDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-329-9968",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC16042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.