Individual provider Active NPI

Yunqi Tan, L.AC, DAOM

  • Acupuncturist
  • Daly City, CA
National Provider Identifier
1720504970
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC17721 Issued in CA
Practice address
345 Gellert Blvd Ste R
Daly City, CA 94015-2617
Phone
(415) 810-8896
NPI assigned
Aug 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC17721 CA Primary

Addresses

Primary practice location

345 Gellert Blvd Ste R
Daly City, CA 94015-2617

Mailing address

345 Gellert Blvd Ste R
Daly City, CA 94015-2617
Phone (415) 810-8896

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
AC17721CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Kapok TCM Acupuncture Acupuncturist CurrentSince Jun 11, 2023 Accepting new patients

Locations

345 Gellert Blvd
Ste R
Daly City, CA 94015
Phone (415) 810-8896

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1720504970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 GELLERT BLVD STE R",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152617",
            "telephone_number": "415-810-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 GELLERT BLVD STE R",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152617",
            "telephone_number": "415-810-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "YUNQI",
        "credential": "L.AC, DAOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC17721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.