Active NPI
Xin Guan Shi, ACUPUNCTURIST
- Acupuncturist
- City of Industry, CA
National Provider Identifier
1669958294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 17998
- Practice address
- 1600 S Azusa Ave Unit 533
City of Industry, CA 91748-1661 - Phone
- (626) 378-8899
- NPI assigned
- Jul 17, 2018
- Sex
- Male
- 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 | 17998 | CA | Primary |
Addresses
Primary practice location
1600 S Azusa Ave Unit 533
City of Industry, CA 91748-1661
Mailing address
1600 S Azusa Ave Unit 533
City of Industry, CA 91748-1661
Phone (626) 378-8899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC17988 | Other | CA | ACUPUNCTURIST |
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 |
|---|---|---|---|
| 17998 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531785600000",
"number": "1669958294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 S AZUSA AVE UNIT 533",
"city": "CITY OF INDUSTRY",
"state": "CA",
"postal_code": "917481661",
"telephone_number": "626-378-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 S AZUSA AVE UNIT 533",
"city": "CITY OF INDUSTRY",
"state": "CA",
"postal_code": "917481661",
"telephone_number": "626-378-8899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHI",
"first_name": "XIN GUAN",
"credential": "ACUPUNCTURIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-17",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "17998",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURIST",
"identifier": "AC17988",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in City of Industry, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.