Individual provider Active NPI

Ting Wen Fan, PHD, OMD, LAC

  • Acupuncturist
  • Monterey Park, CA
National Provider Identifier
1649821885
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC9793 Issued in CA
Practice address
223 N Garfield Ave Ste 301
Monterey Park, CA 91754-1700
Phone
(310) 359-3911
NPI assigned
Sep 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X AC9793 CA Primary

Addresses

Primary practice location

223 N Garfield Ave Ste 301
Monterey Park, CA 91754-1700

Mailing address

3369 Avocado Hill Way
Hacienda Heights, CA 91745-6253
Phone (310) 359-3911

Other practice location 1

2007 E Compton Blvd
Compton, CA 90221-3548
Phone (323) 947-3448

Other names 1

  • Dr. Ting-Wen Hesse Former 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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
AC9793CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1649821885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3369 AVOCADO HILL WAY",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456253",
            "telephone_number": "310-359-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N GARFIELD AVE STE 301",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541700",
            "telephone_number": "310-359-3911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2007 E Compton Blvd",
            "address_purpose": "LOCATION",
            "city": "Compton",
            "state": "CA",
            "postal_code": "902213548",
            "country_code": "US",
            "telephone_number": "323-947-3448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAN",
        "first_name": "TING WEN",
        "name_prefix": "Dr.",
        "credential": "PHD, OMD, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TING-WEN",
            "last_name": "HESSE",
            "prefix": "DR.",
            "credential": "PHD, OMD, LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.