Individual provider Active NPI

Lisa Chiu

  • Acupuncturist
  • Santa Clara, CA
National Provider Identifier
1639438831
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC14675 Issued in CA
Practice address
3161 Cecil Ave
Santa Clara, CA 95050-2101
Phone
(415) 310-6059
NPI assigned
May 8, 2012
Reactivated
Sep 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC14675 CA Primary

Addresses

Primary practice location

3161 Cecil Ave
Santa Clara, CA 95050-2101

Mailing address

3161 Cecil Ave
Santa Clara, CA 95050-2101
Phone (415) 310-6059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC14675CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Sba Clinic Acupuncturist PastSince Apr 17, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1639438831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 CECIL AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950502101",
            "telephone_number": "415-310-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 CECIL AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950502101",
            "telephone_number": "415-310-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIU",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "deactivation_date": "2025-07-16",
        "reactivation_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.