Organization Active NPI

Live Well Chinese Medicine

  • Acupuncturist
  • San Mateo, CA
National Provider Identifier
1639356710
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
11878 Issued in CA
Legal business name
LIVE WELL CHINESE MEDICINE
Practice address
2041 Pioneer CT
Suite 205
San Mateo, CA 94403-1786
Phone
(650) 525-9355
NPI assigned
Jan 30, 2008
Last updated
Apr 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Eunice E Kan, L.AC.NPI 1760661565
Title
Licensed Acupuncturist & Herbalist
Phone
(415) 235-2710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 11878 CA Primary

Addresses

Primary practice location

2041 Pioneer CT
Suite 205
San Mateo, CA 94403-1786

Mailing address

1932 Parkwood Dr
San Mateo, CA 94403-3961
Phone (415) 235-2710

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ50676YOtherCABLUE SHIELD OF CALIFORNIA

National Provider Directory

National Provider Directory

Locations

2041 Pioneer Ct
Ste 205
San Mateo, CA 94403
Phone (650) 525-9355

Practitioners & affiliated clinicians

Practitioners 2

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": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1639356710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 PARKWOOD DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944033961",
            "telephone_number": "415-235-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 PIONEER CT",
            "address_2": "SUITE 205",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031786",
            "telephone_number": "650-525-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL CHINESE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "KAN",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST & HERBALIST",
        "authorized_official_telephone_number": "415-235-2710",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "11878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ50676Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.