Green Creek Acupuncture,Inc

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

GREEN CREEK ACUPUNCTURE,INC

Practice address

20735 Stevens Creek Blvd Ste D
Cupertino, CA 95014-2104

Phone

(650) 766-8718

Fax

(866) 890-9060

NPI assigned

Apr 18, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Xiaodan Li

Title

Ceo

Phone

(650) 766-8718

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1740843374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19275 SAN MARCOS RD",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950705677",
            "telephone_number": "650-766-8718",
            "fax_number": "866-890-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20735 STEVENS CREEK BLVD STE D",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142104",
            "telephone_number": "650-766-8718",
            "fax_number": "866-890-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN CREEK ACUPUNCTURE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "XIAODAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-766-8718",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole E Grady, PT
• Kristin Klein Graetz, PT
• Noelle Lea Grajeda
• Nancy Granzella, PHARM.D.
• Casey Bryant Grayson
• Karen Ilena Blekh Grigoryev, DPT
• Zhuang Gu
• Emily Guenin, MS, CCC-SLP
• Sivakumari Guntupalli, BCBA
• Mamta R. Gupta, M.D.

• Pain Clinic/Center in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Pain Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.