Active NPI
Jeffrey Tien, L.AC, DIPL.OM
- Acupuncturist
- Poway, CA
National Provider Identifier
1578799540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 12992
- Practice address
- 15611 Pomerado Rd
Suite 100, South
Poway, CA 92064-2437 - Phone
- (858) 673-4400
- NPI assigned
- Jun 4, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 12992 | CA | Primary |
Addresses
Primary practice location
15611 Pomerado Rd
Suite 100, South
Poway, CA 92064-2437
Mailing address
10536 Caminito Baywood
San Diego, CA 92126-2820
Phone (858) 336-9734
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 |
|---|---|---|---|
| 12992 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Activemed Integrative Health Center | 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
- Encinitas, CA
- NPI 1578799854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244073600000",
"number": "1578799540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10536 CAMINITO BAYWOOD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921262820",
"telephone_number": "858-336-9734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15611 POMERADO RD",
"address_2": "SUITE 100, SOUTH",
"city": "POWAY",
"state": "CA",
"postal_code": "920642437",
"telephone_number": "858-673-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIEN",
"first_name": "JEFFREY",
"name_prefix": "Mr.",
"credential": "L.AC, DIPL.OM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-04",
"last_updated": "2009-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "12992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.