Chengguang Shi, LICENSED ACUPUNCTURI

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

11121 Issued in CA

Practice address

1208 E Arques Ave Ste 111
Sunnyvale, CA 94085-5419

Phone

(650) 917-9699

Fax

(650) 917-9199

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Mei Clinic

  • Acupuncturist
  • Los Altos, CA
  • NPI 1518296771
  NPD (past)
• Mei Clinic Inc

  • Acupuncturist
  • Los Altos, CA
  • NPI 1134418718
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1578624995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 E ARQUES AVE STE 111",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940855419",
            "telephone_number": "650-917-9699",
            "fax_number": "650-917-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 E ARQUES AVE STE 111",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940855419",
            "telephone_number": "650-917-9699",
            "fax_number": "650-917-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHI",
        "first_name": "CHENGGUANG",
        "credential": "LICENSED ACUPUNCTURI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "11121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Qi Shen
• Pranita Shenoy
• Atul S Sheth, MD
• Kusum A Sheth, MD
• Mahesh Jaya Shetty, MD
• Yubin Shi, D.D.S.
• Shibani Rajadhyksha DDS Inc.
• Shield T3, LLC
• Karen Shih, M.D.
• Shimizu Orthodontics

• 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 Jul 16, 2024; 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.