Active NPI
Masja Van Der Hoog, MSOM, L.AC
- Acupuncturist
- Oakland, CA
National Provider Identifier
1902230709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC13870
- Practice address
- 446 17TH Street
Suite 202
Oakland, CA 94612-2837 - Phone
- (510) 927-6800
- NPI assigned
- Aug 28, 2013
- 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 | AC13870 | CA | Primary |
Addresses
Primary practice location
446 17TH Street
Suite 202
Oakland, CA 94612-2837
Mailing address
446 17TH Street
Suite 202
Oakland, CA 94612-2837
Phone (510) 927-6800
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 |
|---|---|---|---|
| AC13870 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1902230709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 17TH STREET",
"address_2": "SUITE 202",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946122837",
"telephone_number": "510-927-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "446 17TH STREET",
"address_2": "SUITE 202",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946122837",
"telephone_number": "510-927-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN DER HOOG",
"first_name": "MASJA",
"name_prefix": "Miss",
"credential": "MSOM, L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-28",
"last_updated": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC13870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.