Active NPI
Sino-Legacy Acupuncture Clinic
- Acupuncturist
- Fremont, CA
National Provider Identifier
1831497965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC11584
- Legal business name
- SINO-LEGACY ACUPUNCTURE CLINIC
- Practice address
- 46164 Warm Springs Blvd
Unit 266
Fremont, CA 94539-7985 - Phone
- (510) 623-8787
- Fax
- (510) 623-8788
- NPI assigned
- Mar 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Damon Charles Frach, PHD
- Title
- Owner Director
- Phone
- (408) 984-2455
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC27826 | CA | |
| Chiropractor | 111N00000X | DC0278260 | CA | |
| Independent Medical Examiner Chiropractor | 111NI0013X | DC18679 | CA | |
| Acupuncturist | 171100000X | AC11584 | CA | Primary |
| Acupuncturist | 171100000X | AC0066920 | CA | |
| Acupuncturist | 171100000X | AC6692 | CA | |
| Acupuncturist | 171100000X | AC13796 | CA | |
| Acupuncturist | 171100000X | AC2765 | CA |
Addresses
Primary practice location
46164 Warm Springs Blvd
Unit 266
Fremont, CA 94539-7985
Mailing address
46164 Warm Springs Blvd
Unit 266
Fremont, CA 94539-7985
Phone (510) 623-8787
National Provider Directory
National Provider DirectoryLocations
46164 Warm Springs Blvd
Unit 266
Fremont, CA 94539
Phone (510) 623-8787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340236800000",
"number": "1831497965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46164 WARM SPRINGS BLVD",
"address_2": "UNIT 266",
"city": "FREMONT",
"state": "CA",
"postal_code": "945397985",
"telephone_number": "510-623-8787",
"fax_number": "510-623-8788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46164 WARM SPRINGS BLVD",
"address_2": "UNIT 266",
"city": "FREMONT",
"state": "CA",
"postal_code": "945397985",
"telephone_number": "510-623-8787",
"fax_number": "510-623-8788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SINO-LEGACY ACUPUNCTURE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-14",
"last_updated": "2012-06-21",
"status": "A",
"authorized_official_last_name": "FRACH",
"authorized_official_first_name": "DAMON",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "OWNER DIRECTOR",
"authorized_official_telephone_number": "408-984-2455",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC27826",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC0278260",
"primary": false
},
{
"code": "111NI0013X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Independent Medical Examiner",
"state": "CA",
"license": "DC18679",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC11584",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC0066920",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC6692",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC13796",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC2765",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.