Organization Active NPI

MDT Acupuncture & TCM Corp

  • Acupuncturist
  • Orange, CA
National Provider Identifier
1669967584
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
16101 Issued in CA
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

Updated by the provider on Jun 22, 2018

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)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
16101OtherCAACUPUNCTURE BOARD

Other names 1

  • MDT ACUPUNCTURE Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.