Active NPI
Yuanchun Huang, L.AC, OMD
- Acupuncturist
- Costa Mesa, CA
National Provider Identifier
1881790558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 5963
- Practice address
- 440 Fair Dr Ste S
Costa Mesa, CA 92626-6242 - Phone
- (714) 751-8789
- Fax
- (714) 751-8799
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 5963 | CA | Primary |
Addresses
Primary practice location
440 Fair Dr Ste S
Costa Mesa, CA 92626-6242
Mailing address
25085 Mackenzie St
Laguna Hills, CA 92653-5082
Phone (714) 751-8789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ04630Z | Other | CA | BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC 5963 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global Health & Sports Institute | Acupuncturist | Past | Accepting new patients |
| Wellness Today, Inc | Acupuncturist | Past | 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.
-
- Acupuncturist
- Costa Mesa, CA
- NPI 1124124847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881790558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25085 MACKENZIE ST",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926535082",
"telephone_number": "714-751-8789",
"fax_number": "714-751-8799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 FAIR DR STE S",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926266242",
"telephone_number": "714-751-8789",
"fax_number": "714-751-8799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "YUANCHUN",
"name_prefix": "Ms.",
"credential": "L.AC, OMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 5963",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ04630Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.