Jillian Wang

Primary specialty

AcupuncturistTaxonomy code 171100000X

Practice address

419 Torrance Blvd
Redondo Beach, CA 90277-3326

Phone

(310) 542-1856

NPI assigned

Dec 18, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Acupremier Family Acupuncture, Inc.

  • Acupuncturist
  • Redondo Beach, CA
  • NPI 1457812901
  NPD (past) Authorized official

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1790257566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 TORRANCE BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 TORRANCE BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773326",
            "telephone_number": "310-542-1856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 S Prospect Ave Unit 301",
            "address_purpose": "LOCATION",
            "city": "Redondo Beach",
            "state": "CA",
            "postal_code": "902774413",
            "country_code": "US",
            "telephone_number": "847-334-5455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "JILLIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Walsh
• Amanda Victoria Walsh
• Gerald Walsh
• Rodman D Walsh, LMFT
• Shelby Walton
• Shalonda Ward
• Jessica Warren, OTR/L
• Kai Washington
• Kelli Washington
• Jacob Wassily

• Acupuncturist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.