Active NPI
Mimi Le, L.AC
- Acupuncturist
- San Jose, CA
National Provider Identifier
1801325592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC17528
- Practice address
- 136 N White Rd
San Jose, CA 95127-1935 - Phone
- (408) 772-5867
- NPI assigned
- Jun 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | AC17528 | CA | Primary |
Addresses
Primary practice location
136 N White Rd
San Jose, CA 95127-1935
Mailing address
136 N White Rd
San Jose, CA 95127-1935
Phone (408) 772-5867
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 |
|---|---|---|---|
| AC17528 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1801325592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 N WHITE RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951271935",
"telephone_number": "408-772-5867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 N WHITE RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951271935",
"telephone_number": "408-772-5867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "MIMI",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC17528",
"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 Jul 21, 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.