Organization Active NPI

Wardah 1, Inc

  • Acupuncturist
  • San Gabriel, CA
National Provider Identifier
1831382464
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC8387 Issued in CA
Legal business name
WARDAH 1, INC
Practice address
529 E Valley Blvd
Suite #188-a
San Gabriel, CA 91776-3668
Phone
(626) 572-5191
NPI assigned
Aug 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Authorized official

Name
Sheng Bin Yang, L.AC
Title
Acupuncture Doctor
Phone
(626) 572-5191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC8387 CA Primary

Addresses

Primary practice location

529 E Valley Blvd
Suite #188-a
San Gabriel, CA 91776-3668

Mailing address

529 E Valley Blvd
Suite #188-a
San Gabriel, CA 91776-3668
Phone (626) 572-5191

Other names 1

  • CHINESE ANCIENT HEALTH CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

529 E Valley Blvd
Ste 188A
San Gabriel, CA 91776
Phone (626) 571-2020

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1831382464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 E VALLEY BLVD",
            "address_2": "SUITE #188-A",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763668",
            "telephone_number": "626-572-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 E VALLEY BLVD",
            "address_2": "SUITE #188-A",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763668",
            "telephone_number": "626-572-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARDAH 1, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "SHENG",
        "authorized_official_middle_name": "BIN",
        "authorized_official_title_or_position": "ACUPUNCTURE DOCTOR",
        "authorized_official_telephone_number": "626-572-5191",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC8387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHINESE ANCIENT HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.