Individual provider Active NPI

Shujuan Zhang, AC

  • Acupuncturist
  • Bakersfield, CA
National Provider Identifier
1679584452
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC9322 Issued in CA
Practice address
4505 Mattnick Dr
Bakersfield, CA 93313-3937
Phone
(661) 834-3828
Fax
(661) 398-8670
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC9322 CA Primary

Addresses

Primary practice location

4505 Mattnick Dr
Bakersfield, CA 93313-3937

Mailing address

4505 Mattnick Dr
Bakersfield, CA 93313-3937
Phone (661) 834-3828

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
AC9322CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Chinese Medical Center Acupuncturist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1679584452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 MATTNICK DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933133937",
            "telephone_number": "661-834-3828",
            "fax_number": "661-398-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 MATTNICK DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933133937",
            "telephone_number": "661-834-3828",
            "fax_number": "661-398-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "SHUJUAN",
        "name_prefix": "Ms.",
        "credential": "AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.