Mamie Lydia Chow, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC16555 Issued in CA

Practice address

3280 Adeline St
Berkeley, CA 94703-2439

Phone

(510) 326-8853

NPI assigned

Dec 28, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Mamie Lydia Chow-Wang Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1770948291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 CORONADO AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181003",
            "telephone_number": "510-326-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 ADELINE ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032439",
            "telephone_number": "510-326-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOW",
        "first_name": "MAMIE",
        "middle_name": "LYDIA",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC16555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAMIE",
            "last_name": "CHOW-WANG",
            "middle_name": "LYDIA",
            "prefix": "MS.",
            "credential": "L.AC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Harneet Chopra, MD
• Alison Frances Chou
• Elayne Chou, PH.D.
• Jennifer Chou
• Madeline Tam Chow, NP
• Diane Yvonne Chowwoods, DPM
• Keala Meyer Christeck
• Tuyet-Lyn Christensen, MFT
• Nicole Christodoulou
• Christopher J. Chen MD

• All providers in Berkeley, CA
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.