The Great Sally, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

THE GREAT SALLY, LLC

Practice address

25 N 14TH St Ste 440
San Jose, CA 95112-6201

Phone

(669) 342-7696

NPI assigned

May 22, 2017

Organization subpart

No

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

Authorized official

Name

Sally Su

Title

Clinic Manager

Phone

(669) 342-7696

Specialties & licenses 1

Addresses

Other names 1

• A Plus Acupuncture Doing business as

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495411200000",
    "number": "1720515604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N 14TH ST STE 440",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N 14TH ST STE 440",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126201",
            "telephone_number": "669-342-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GREAT SALLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-22",
        "last_updated": "2017-05-22",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "669-342-7696"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Plus Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Renee Tharp
• The Body RX Center
• The Center for Eye Care and Cosmetic Surgery
• The Episcopal Diocese of El Camino Real
• The Foundation for Hispanic Education
• The Great Talking Box Company
• The Healing Wellness Center
• The Health Trusr
• The Health Trust
• The Health Trust

• Health Service Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; 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.