Yuan Si, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC15933 Issued in CA

Practice address

43433 Mission Blvd
Suite 102
Fremont, CA 94539

Phone

(510) 573-6269

NPI assigned

Apr 25, 2014

Last updated

Jul 7, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Yuan Wellness Center

  • Clinic/Center
  • Cupertino, CA
  • NPI 1851053524
  NPD Authorized official
• Just for Your Health Medical Group

  • Acupuncturist
  • Fremont, CA
  • NPI 1578973673
  NPD (past) Authorized official

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1619397858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43433 MISSION BLVD",
            "address_2": "SUITE 102",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94539",
            "telephone_number": "510-573-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43433 MISSION BLVD",
            "address_2": "SUITE 102",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94539",
            "telephone_number": "510-573-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SI",
        "first_name": "YUAN",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-25",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "AC15933",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AC15933",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ankita Shukla
• Priti Shukla
• Vallari Shukla, MD
• Stephen R Shuput, MD
• Unknown Shweta Kumari
• Mehgan Sichel
• Seir Siddiq
• Simin Siddiq, M.D.
• Mohamed Ajaz Siddiqui, O.D.
• Amanjot Kaur Sidhu, M.D.

• 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 Jul 7, 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.