Abundant Heaven Acupuncture Inc

Organization Active NPI Acupuncturist · Campbell, CA

NPI 1700525722 · NPPES record last updated May 27, 2022

Key facts

NPI
1700525722
Entity type
Organization (NPI type 2)
Primary specialty
Acupuncturist 171100000X
Legal business name
ABUNDANT HEAVEN ACUPUNCTURE INC
Practice address
621 E Campbell Ave Ste 7
Campbell, CA 95008-2126
Phone
(408) 628-1888
Fax
(408) 409-2531
NPI assigned
May 27, 2022
Organization subpart
No

Authorized official

Name
Dr. Michael Eugene Brown Jr., DACM, LAC NPI 1386089258
Title
Secretary/Treasurer
Phone
(408) 724-9999

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

621 E Campbell Ave
Ste 7
Campbell, CA 95008
Phone (408) 378-0415

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist
Group: 193400000X SINGLE SPECIALTY GROUP
171100000X Yes

Addresses

Primary practice location

621 E Campbell Ave Ste 7
Campbell, CA 95008-2126

Mailing address

621 E Campbell Ave Ste 7
Campbell, CA 95008-2126
Phone (408) 628-1888

Other names

  • Abundant Heaven Integrative Acupuncture Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 27, 2022.

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1700525722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 E CAMPBELL AVE STE 7",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082126",
            "telephone_number": "408-628-1888",
            "fax_number": "408-409-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 E CAMPBELL AVE STE 7",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082126",
            "telephone_number": "408-628-1888",
            "fax_number": "408-409-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT HEAVEN ACUPUNCTURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "408-724-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DACM, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abundant Heaven Integrative Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Campbell, CA

All providers in Campbell, CA · Acupuncturist in California

Sources for this page

Verify at the official NPI Registry.