Individual provider Active NPI

Poyu Chen

  • Acupuncturist
  • Sunnyvale, CA
National Provider Identifier
1689381527
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC18389 Issued in CA
Practice address
1137 Tasman Dr
Sunnyvale, CA 94089-2228
Phone
(669) 290-7440
NPI assigned
Oct 31, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC18389 CA Primary

Addresses

Primary practice location

1137 Tasman Dr
Sunnyvale, CA 94089-2228

Mailing address

1041 Burntwood Ave
Sunnyvale, CA 94089-2601
Phone (669) 290-7440

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
AC18389CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Aculilas Medical Group Acupuncturist CurrentSince Nov 6, 2022 Accepting new patients

Locations

1137 Tasman Dr
Sunnyvale, CA 94089
Phone (408) 541-0188

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": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1689381527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 BURNTWOOD AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940892601",
            "telephone_number": "669-290-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 TASMAN DR",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940892228",
            "telephone_number": "669-290-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "POYU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC18389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.