Organization Active NPI

Amazing Healing Acupuncture Professional Corporation

  • Acupuncturist
  • San Jose, CA
National Provider Identifier
1790590792
Registry record updated Feb 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
AMAZING HEALING ACUPUNCTURE PROFESSIONAL CORPORATION
Practice address
1035 N 4TH St
San Jose, CA 95112-4942
Phone
(310) 658-6513
NPI assigned
Feb 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2025

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

Authorized official

Name
Yingcheng Lee, LACNPI 1356185714
Title
Owner
Phone
(310) 658-6513

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

1035 N 4TH St
San Jose, CA 95112-4942

Mailing address

1360 Rue Avati
San Jose, CA 95131-2547
Phone (310) 658-6513

National Provider Directory

National Provider Directory

Locations

1035 N 4th St
San Jose, CA 95112
Phone (310) 658-6513

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738972800000",
    "number": "1790590792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 RUE AVATI",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312547",
            "telephone_number": "310-658-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 N 4TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951124942",
            "telephone_number": "310-658-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING HEALING ACUPUNCTURE PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-08",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YINGCHENG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-658-6513",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2025; 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.