Active NPI
MDT Acupuncture & TCM Corp
- Acupuncturist
- Orange, CA
National Provider Identifier
1669967584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 16101
- Legal business name
- MDT ACUPUNCTURE & TCM CORP
- Practice address
- 2942 E Chapman Ave Ste a
Orange, CA 92869-3745 - Phone
- (714) 771-3366
- Fax
- (714) 771-2011
- NPI assigned
- Jun 22, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Xia Li
- Title
- Ceo
- Phone
- (626) 993-8058
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 16101 | CA | Primary |
Addresses
Primary practice location
2942 E Chapman Ave Ste a
Orange, CA 92869-3745
Mailing address
2942 E Chapman Ave Ste a
Orange, CA 92869-3745
Phone (714) 771-3366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16101 | Other | CA | ACUPUNCTURE BOARD |
Other names 1
- MDT ACUPUNCTURE
National Provider Directory
National Provider DirectoryLocations
2942 E Chapman Ave
Ste A
Orange, CA 92869
Phone (714) 639-2110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529625600000",
"number": "1669967584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2942 E CHAPMAN AVE STE A",
"city": "ORANGE",
"state": "CA",
"postal_code": "928693745",
"telephone_number": "714-771-3366",
"fax_number": "714-771-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2942 E CHAPMAN AVE STE A",
"city": "ORANGE",
"state": "CA",
"postal_code": "928693745",
"telephone_number": "714-771-3366",
"fax_number": "714-771-2011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MDT ACUPUNCTURE & TCM CORP",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-22",
"last_updated": "2018-06-22",
"status": "A",
"authorized_official_last_name": "LI",
"authorized_official_first_name": "XIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "626-993-8058"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "16101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE BOARD",
"identifier": "16101",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MDT ACUPUNCTURE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.