Individual provider Active NPI

Shun Sheng Chen, L.A.C., O.M.D.

  • Acupuncturist
  • Cypress, CA
National Provider Identifier
1649441585
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 10353 Issued in CA
Practice address
9179 Valley View St
Cypress, CA 90630-5803
Phone
(714) 527-0099
Fax
(714) 821-1610
NPI assigned
Mar 19, 2008
Last updated
Mar 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 10052 CA
Acupuncturist 171100000X AC 10353 CA Primary

Addresses

Primary practice location

9179 Valley View St
Cypress, CA 90630-5803

Mailing address

9179 Valley View St
Cypress, CA 90630-5803
Phone (714) 527-0099

Other names 1

  • Mr. Samuel Chen Other name

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
AC 10052CAMDAcupuncturist
AC 10353CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1649441585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9179 VALLEY VIEW ST",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305803",
            "telephone_number": "714-527-0099",
            "fax_number": "714-821-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9179 VALLEY VIEW ST",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305803",
            "telephone_number": "714-527-0099",
            "fax_number": "714-821-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "SHUN",
        "middle_name": "SHENG",
        "name_prefix": "Mr.",
        "credential": "L.A.C., O.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 10052",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 10353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMUEL",
            "last_name": "CHEN",
            "prefix": "MR.",
            "credential": "L.A.C., O.M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.