NPIMap

Organization Active NPI

Susan Shao L.Ac.

  • Acupuncturist
  • Fountain Valley, CA
National Provider Identifier
1871851675
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC-2948 Issued in CA
Legal business name
SUSAN SHAO L.AC.
Practice address
9092 Talbert Ave #10
Fountain Valley, CA 92708-4452
Phone
(714) 968-3325
NPI assigned
Apr 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Authorized official

Name
Susan Shao, ACUPUNCTURISTNPI 1295892362
Title
Officer President & Secretary
Phone
(714) 968-3325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC-2948 CA Primary

Addresses

Primary practice location

9092 Talbert Ave #10
Fountain Valley, CA 92708-4452

Mailing address

9092 Talbert Ave #10
Fountain Valley, CA 92708-4452
Phone (714) 968-3325

Other identifiers 1

IdentifierTypeStateIssuer
AC-2948OtherCACONSUMER AFFAIRS

Other names 1

  • Susan Shao Former legal business name

National Provider Directory

National Provider Directory

Locations

9092 Talbert Ave
Ste 10
Fountain Valley, CA 92708
Phone (714) 968-3325

Practitioners & affiliated clinicians

Practitioners 1

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": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1871851675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9092 TALBERT AVE #10",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084452",
            "telephone_number": "714-968-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9092 TALBERT AVE #10",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084452",
            "telephone_number": "714-968-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN SHAO L.AC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "SHAO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICER PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "714-968-3325",
        "authorized_official_credential": "ACUPUNCTURIST"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC-2948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONSUMER AFFAIRS",
            "identifier": "AC-2948",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan Shao",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.

Verify at the official NPI Registry.