Organization Active NPI

Zen Acupuncture Clinic LLC

  • Health Service Clinic/Center
  • Milpitas, CA
National Provider Identifier
1710656772
Registry record updated Sep 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ZEN ACUPUNCTURE CLINIC LLC
Practice address
1717 N Milpitas Blvd
Milpitas, CA 95035-2727
Phone
(669) 263-6959
NPI assigned
Sep 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2021

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

Authorized official

Name
Andriy Kudryavtsev
Title
Co Owner
Phone
(305) 731-4586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1717 N Milpitas Blvd
Milpitas, CA 95035-2727

Mailing address

644 Chiquita Ave FRNT
Mountain View, CA 94041-2704

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1631404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631404800000",
    "number": "1710656772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 CHIQUITA AVE FRNT",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940412704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N MILPITAS BLVD",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950352727",
            "telephone_number": "669-263-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEN ACUPUNCTURE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-12",
        "last_updated": "2021-09-12",
        "certification_date": "2021-09-12",
        "status": "A",
        "authorized_official_last_name": "KUDRYAVTSEV",
        "authorized_official_first_name": "ANDRIY",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "305-731-4586"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.