Individual provider Active NPI

Ming-Lan Kang, ACUPUNCTURIST

  • Acupuncturist
  • San Jose, CA
National Provider Identifier
1689147266
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
18275 Issued in CA
Practice address
4066 Alberstone Dr
San Jose, CA 95130-1504
Phone
(650) 282-0731
NPI assigned
Jan 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 18275 CA Primary

Addresses

Primary practice location

4066 Alberstone Dr
San Jose, CA 95130-1504

Mailing address

4066 Alberstone Dr
San Jose, CA 95130-1504
Phone (650) 282-0731

Other practice location 1

1630 Oakland Rd Ste A117
San Jose, CA 95131-2461
Phone (650) 861-6858

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
18275CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Zen100Care Acupuncturist CurrentSince Oct 25, 2020 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": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1689147266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4066 ALBERSTONE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951301504",
            "telephone_number": "650-282-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 ALBERSTONE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951301504",
            "telephone_number": "650-282-0731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1630 Oakland Rd Ste A117",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951312461",
            "country_code": "US",
            "telephone_number": "650-861-6858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "MING-LAN",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "18275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.