Active NPI
Jerry Gan
- Acupuncturist
- Danville, CA
National Provider Identifier
1598836793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC5324
- Practice address
- 171 Front St
Suite 101
Danville, CA 94526-3347 - Phone
- (925) 552-0998
- Fax
- (209) 234-6887
- NPI assigned
- Nov 11, 2006
- Last updated
- Jul 8, 2007
- 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 | AC5324 | CA | Primary |
Addresses
Primary practice location
171 Front St
Suite 101
Danville, CA 94526-3347
Mailing address
4468 McDougald Blvd
Stockton, CA 95206-6206
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 |
|---|---|---|---|
| AC5324 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598836793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4468 MCDOUGALD BLVD",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952066206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 FRONT ST",
"address_2": "SUITE 101",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945263347",
"telephone_number": "925-552-0998",
"fax_number": "209-234-6887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAN",
"first_name": "JERRY",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC5324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.