Enmin Peng

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

13140 Issued in CA

Practice address

39210 State Street Ste 213
Fremont, CA 94538

Phone

(650) 212-7968

Fax

(408) 899-4296

NPI assigned

Mar 31, 2011

Last updated

May 13, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Enmin Peng Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Acu Health Medical Group Inc

  • Acupuncturist
  • Foster City, CA
  • NPI 1952634966
  Authorized official Same address or phone

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1609165539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3849 DE LA CRUZ BLVD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950542117",
            "telephone_number": "650-274-8320",
            "fax_number": "408-899-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39210 STATE STREET STE 213",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "650-212-7968",
            "fax_number": "408-899-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENG",
        "first_name": "ENMIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-31",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ENMIN",
            "last_name": "PENG",
            "credential": "LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Colette Rouleau Pellowski, NP
• Howard L. Pelovitz, MD
• Taylor Alyssa Pena
• Elizabeth Penaloza
• Natalie Paige Pence
• Jingyu Peng
• Ruijie Peng
• Susan Peng, MD
• Ashley Penland, PA-C
• Brian Pennington

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.