NPIMap

Organization Active NPI

Longevity Hall

  • Acupuncturist
  • San Jose, CA
National Provider Identifier
1851722185
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
15550 Issued in CA
Legal business name
LONGEVITY HALL
Practice address
1630 Oakland Rd
Suite A115
San Jose, CA 95131-2449
Phone
(408) 982-5290
NPI assigned
Dec 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Kar Chan
Title
Owner
Phone
(408) 738-8586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 15550 CA Primary

Addresses

Primary practice location

1630 Oakland Rd
Suite A115
San Jose, CA 95131-2449

Mailing address

1630 Oakland Rd
Suite A115
San Jose, CA 95131-2449

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1851722185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 OAKLAND RD",
            "address_2": "SUITE A115",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 OAKLAND RD",
            "address_2": "SUITE A115",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312449",
            "telephone_number": "408-982-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY HALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "KAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-738-8586"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "15550",
            "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 Dec 12, 2013; 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.