Active NPI
Shan Ju Lin, LAC (ACUPUNCTURIST)
- Acupuncturist
- Winnetka, CA
National Provider Identifier
1699409342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 15565
- Practice address
- 7111 Winnetka Ave Ste 1
Winnetka, CA 91306-3673 - Phone
- (805) 297-0632
- NPI assigned
- Jul 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 15565 | CA | Primary |
Addresses
Primary practice location
7111 Winnetka Ave Ste 1
Winnetka, CA 91306-3673
Mailing address
105 Marblehead St
Simi Valley, CA 93065-7053
Phone (805) 522-3508
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15565 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657411200000",
"number": "1699409342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 MARBLEHEAD ST",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930657053",
"telephone_number": "805-522-3508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7111 WINNETKA AVE STE 1",
"city": "WINNETKA",
"state": "CA",
"postal_code": "913063673",
"telephone_number": "805-297-0632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "SHAN JU",
"name_prefix": "Dr.",
"credential": "LAC (ACUPUNCTURIST)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-10",
"last_updated": "2022-07-10",
"certification_date": "2022-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "15565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winnetka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.