Individual provider Active NPI

Hong Ming Gao

  • Acupuncturist
  • Duarte, CA
National Provider Identifier
1689959009
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
13878 Issued in CA
Practice address
1740 Huntington Dr # 102C
Duarte, CA 91010-2580
Phone
(626) 359-7808
NPI assigned
Oct 17, 2011
Reactivated
Aug 22, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 13878 CA Primary

Addresses

Primary practice location

1740 Huntington Dr # 102C
Duarte, CA 91010-2580

Mailing address

9818 Garibaldi Ave.
Temple City, CA 91780-1713
Phone (626) 359-7808

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
13878CAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1689959009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9818 GARIBALDI AVE.",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917801713",
            "telephone_number": "626-359-7808",
            "fax_number": "626-531-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 HUNTINGTON DR # 102C",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102580",
            "telephone_number": "626-359-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAO",
        "first_name": "HONG MING",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-17",
        "last_updated": "2018-08-22",
        "deactivation_date": "2016-04-26",
        "reactivation_date": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duarte, CA

Sources for this page

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