JJW Pacific Health Group LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

JJW PACIFIC HEALTH GROUP LLC

Doing business as

Moodup Wellness

Practice address

39039 Paseo Padre Pkwy Ste 100
Fremont, CA 94538-1620

Phone

(415) 935-5579

NPI assigned

Jun 26, 2024

Last updated

Jun 26, 2024By 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

Peng Song, L.ACNPI 1932663135

Title

Acupuncturist

Phone

(415) 935-5579

Specialties & licenses 1

Addresses

Other names 1

• Moodup Wellness Doing business as

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.

• Peng Song

  • Acupuncturist
  • Fremont, CA
  • NPI 1932663135
  NPD Authorized official

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1609611268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39039 PASEO PADRE PKWY STE 100",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381620",
            "telephone_number": "415-935-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39039 PASEO PADRE PKWY STE 100",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381620",
            "telephone_number": "415-935-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJW PACIFIC HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "PENG",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "415-935-5579",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moodup Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kai Jing, M.D.
• Kamlesh R. Jinjuwadia, D.D.S
• Joy Jinkerson
• Jinwoo Jeong Dental Corporation
• Jishen NA, D.D.S. Inc
• Jan Julius Jocson, RN
• Brenda C Joe-Matsuo, M.S., MFT
• Isabella Joe
• Vy Joel, DC
• Genevieve Lynn Johansen, LCSW

• 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 Jun 26, 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.