Evergreen Acupuncture & Chinese Herbs, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC12136 Issued in CA

Legal business name

EVERGREEN ACUPUNCTURE & CHINESE HERBS, LLC

Practice address

3375 Scott Blvd
Suite 332
Santa Clara, CA 95054-3110

Phone

(408) 215-1683

Fax

(408) 773-6238

NPI assigned

Jun 17, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Xin Chang

Title

Director

Phone

(408) 215-1683

Specialties & licenses 1

Addresses

Other names 1

• E.A.C.H. Other name

Locations

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1639306632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 SCOTT BLVD",
            "address_2": "SUITE 332",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950543110",
            "telephone_number": "408-215-1683",
            "fax_number": "408-773-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 SCOTT BLVD",
            "address_2": "SUITE 332",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950543110",
            "telephone_number": "408-215-1683",
            "fax_number": "408-773-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN ACUPUNCTURE & CHINESE HERBS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "XIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "408-215-1683",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E.A.C.H.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bridget Michele Evans, PT
• Cathlene Ann Evans, LCSW
• Sarah Conley Evans, M.D.
• Evelyn C.Galvan D.M.D Inc.& Associates
• Leah Even, MFT
• Evh Surgical Consultants Inc
• Evolibri Consulting
• Eye Boutique Optometry Inc
• Deborah Ezaki
• Vera Ann Fagot, CRNA

• Acupuncturist in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.