Active NPI
Angeline Lu
- Acupuncturist
- Fremont, CA
National Provider Identifier
1639724925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 18408
- Practice address
- 872 Cherry Glen Cir
Fremont, CA 94536-4246 - Phone
- (415) 568-0507
- NPI assigned
- Aug 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 18408 | CA | Primary |
Addresses
Primary practice location
872 Cherry Glen Cir
Fremont, CA 94536-4246
Mailing address
872 Cherry Glen Cir
Fremont, CA 94536-4246
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18408 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1639724925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "872 CHERRY GLEN CIR",
"city": "FREMONT",
"state": "CA",
"postal_code": "945364246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "872 CHERRY GLEN CIR",
"city": "FREMONT",
"state": "CA",
"postal_code": "945364246",
"telephone_number": "415-568-0507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LU",
"first_name": "ANGELINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-05",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "18408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.