Active NPI
Qianting Chan, L.AC.
- Acupuncturist
- Fremont, CA
National Provider Identifier
1790111938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 14776
- Practice address
- 6070 Stevenson Blvd
Fremont, CA 94538-5250 - Phone
- (510) 619-8484
- Fax
- (855) 838-5878
- NPI assigned
- Sep 19, 2013
- Sex
- Female
- Sole proprietor
- No
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 | AC 14776 | CA | Primary |
Addresses
Primary practice location
6070 Stevenson Blvd
Fremont, CA 94538-5250
Mailing address
6070 Stevenson Blvd
Fremont, CA 94538-5250
Phone (510) 996-8446
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 |
|---|---|---|---|
| AC 14776 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wai Yan Tong Acupuncture Inc | Acupuncturist | Current | Accepting new patients |
Locations
6070 Stevenson Blvd
Fremont, CA 94538
Phone (510) 619-8484
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
- Fremont, CA
- NPI 1235648569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1790111938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6070 STEVENSON BLVD",
"city": "FREMONT",
"state": "CA",
"postal_code": "945385250",
"telephone_number": "510-996-8446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6070 STEVENSON BLVD",
"city": "FREMONT",
"state": "CA",
"postal_code": "945385250",
"telephone_number": "510-619-8484",
"fax_number": "855-838-5878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "QIANTING",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-19",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 14776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.