Individual provider Active NPI

Yi-Chung Chao, PH.D, L.AC

  • Acupuncturist
  • San Jose, CA
National Provider Identifier
1871285080
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
17736 Issued in CA
Practice address
4325 Moorpark Ave Ste B
San Jose, CA 95129-2076
Phone
(408) 390-8377
NPI assigned
May 24, 2023
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 17736 CA Primary

Addresses

Primary practice location

4325 Moorpark Ave Ste B
San Jose, CA 95129-2076

Mailing address

4325B Moorpark Ave Ste B
San Jose, CA 95129-2029
Phone (408) 390-8377

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
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Modern CM Healthcare Foundation Acupuncturist Current Accepting new patients

Locations

4325 Moorpark Ave
Ste B
San Jose, CA 95129
Phone (408) 390-8377

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1871285080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325B MOORPARK AVE STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951292029",
            "telephone_number": "408-390-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 MOORPARK AVE STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951292076",
            "telephone_number": "408-390-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAO",
        "first_name": "YI-CHUNG",
        "credential": "PH.D, L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-24",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "17736",
            "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 Oct 31, 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.