Individual provider Active NPI

Li Yan Wang, L.AC

  • Acupuncturist
  • San Francisco, CA
National Provider Identifier
1841958360
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC19202 Issued in CA
Practice address
211 Sutter St Ste 401
San Francisco, CA 94108-4425
Phone
(415) 546-1461
NPI assigned
Dec 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC19202 CA Primary

Addresses

Primary practice location

211 Sutter St Ste 401
San Francisco, CA 94108-4425

Mailing address

20669 Naglee Rd
Tracy, CA 95304-9447
Phone (415) 872-2286

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.chirohealthsf.com Direct

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
AC19202CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Eve'S Ancient Wisdom Wellness LLC Acupuncturist Current Accepting new patients
Mazgaloff Chiropractic, Inc PastSince Dec 5, 2021 Accepting new patients

Organizations & group practices 2

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": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1841958360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20669 NAGLEE RD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953049447",
            "telephone_number": "415-872-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SUTTER ST STE 401",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084425",
            "telephone_number": "415-546-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "LI",
        "middle_name": "YAN",
        "name_prefix": "Miss",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC19202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.chirohealthsf.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "211 Sutter St Ste 401",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941084425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.