NPIMap

Organization Active NPI

San Dao Tang LLC

  • Acupuncturist
  • Rowland Heights, CA
National Provider Identifier
1609651272
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SAN DAO TANG LLC
Practice address
1788 Sierra Leone Ave Ste 105
Rowland Heights, CA 91748-5890
Phone
(626) 318-4988
NPI assigned
Aug 30, 2023
Last updated
Aug 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Mr. Fangde GaoNPI 1811471212
Title
Ceo
Phone
(626) 318-4988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

1788 Sierra Leone Ave Ste 105
Rowland Heights, CA 91748-5890

Mailing address

1788 Sierra Leone Ave Ste 105
Rowland Heights, CA 91748-5890
Phone (626) 318-4988

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1609651272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1788 SIERRA LEONE AVE STE 105",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917485890",
            "telephone_number": "626-318-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1788 SIERRA LEONE AVE STE 105",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917485890",
            "telephone_number": "626-318-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DAO TANG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "GAO",
        "authorized_official_first_name": "FANGDE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-318-4988",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowland Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.