Xiao Kang Peter Chen

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC11055 Issued in CA

Practice address

79 Grove Ave Ste B
Upland, CA 91786-8183

Phone

(909) 949-0001

NPI assigned

Mar 7, 2007

Last updated

Sep 28, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sage Holistic Healing Inc

  • Acupuncturist
  • Upland, CA
  • NPI 1588511075
  NPD

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1902936800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 ARBOR LN",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917627226",
            "telephone_number": "626-625-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 GROVE AVE STE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917868183",
            "telephone_number": "909-949-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "XIAO KANG PETER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chehade Medical Associates, Inc
• Caroline Chen-Rogers, DO
• Mark T. Chen, DO
• Ray R Chen, L.AC., O.M.D., PH.D
• Steven Chen, PHARM.D.
• Chen's Holistic Acupuncture & Herbs Clinic, Inc.
• Angelina Pik Yin Cheng, MD
• George Cheng, M.D.
• Olivia Cheung
• Lisa CHI

• Acupuncturist in Upland, CA
• Providers in Upland, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.