Active NPI
Xu Shandra Fang, L.AC
- Acupuncturist
- Monterey Park, CA
National Provider Identifier
1710555297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 18284
- Practice address
- 939 S Atlantic Blvd Ste 107
Monterey Park, CA 91754-1074 - Phone
- (626) 282-2876
- NPI assigned
- Jun 11, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 18284 | CA | Primary |
Addresses
Primary practice location
939 S Atlantic Blvd Ste 107
Monterey Park, CA 91754-1074
Mailing address
939 S Atlantic Blvd Ste 107
Monterey Park, CA 91754-1074
Phone (626) 278-9475
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hope Medical Center | Acupuncturist | Past | 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.
-
- Acupuncturist
- Monterey Park, CA
- NPI 1023670734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1710555297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "939 S ATLANTIC BLVD STE 107",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917541074",
"telephone_number": "626-278-9475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 S ATLANTIC BLVD STE 107",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917541074",
"telephone_number": "626-282-2876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANG",
"first_name": "XU",
"middle_name": "SHANDRA",
"name_prefix": "Miss",
"credential": "L.AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-11",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "18284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.