Active NPI
Shuqin Fan
- Acupuncturist
- Sunnyvale, CA
National Provider Identifier
1720851520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 19902
- Practice address
- 595 Lawrence Expy
Sunnyvale, CA 94085-3922 - Phone
- (510) 320-9086
- NPI assigned
- Nov 2, 2023
- Last updated
- Nov 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 19902 | CA | Primary |
Addresses
Primary practice location
595 Lawrence Expy
Sunnyvale, CA 94085-3922
Mailing address
22 Palm Dr
Union City, CA 94587-4239
Phone (510) 320-9098
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19902 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wuweitang Acupuncture Inc | Acupuncturist | Current | Accepting new patients |
Locations
5150 Graves Ave
Ste 8D
San Jose, CA 95129
Phone (408) 446-9729
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.
-
- Acupuncturist
- San Jose, CA
- NPI 1679330054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1720851520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 PALM DR",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945874239",
"telephone_number": "510-320-9098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 LAWRENCE EXPY",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940853922",
"telephone_number": "510-320-9086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAN",
"first_name": "SHUQIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-02",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "19902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.