Individual provider Active NPI

Chin Shin Yang, DTCM

  • Acupuncturist
  • Hayward, CA
National Provider Identifier
1821824731
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC20171 Issued in CA
Practice address
637 Chevy Chase Way
Hayward, CA 94544-7229
Phone
(415) 994-4011
NPI assigned
Sep 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC20171 CA Primary

Addresses

Primary practice location

637 Chevy Chase Way
Hayward, CA 94544-7229

Mailing address

637 Chevy Chase Way
Hayward, CA 94544-7229

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

LicenseStateTypeSpecialty
AC20171CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
TCMH Inc Acupuncturist Current Accepting new patients
Tai Yi Oriental Acupuncturist CurrentSince Dec 22, 2024 Accepting new patients
Grandpath Medical Group Acupuncturist PastSince Dec 8, 2024 Accepting new patients

Locations

3701 Geary Blvd
#101
San Francisco, CA 94118
Phone (510) 480-6312

1010 B St
Tracy, CA 95376
Phone (209) 839-8188

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1821824731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 CHEVY CHASE WAY",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945447229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 CHEVY CHASE WAY",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945447229",
            "telephone_number": "415-994-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "CHIN SHIN",
        "credential": "DTCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC20171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.