Organization Active NPI

Fuller Acupuncture Clinic

  • Acupuncturist
  • Pasadena, CA
National Provider Identifier
1912355181
Registry record updated May 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
8215 Issued in CA
Legal business name
FULLER ACUPUNCTURE CLINIC
Practice address
1 S Fair Oaks Ave Ste 205
Pasadena, CA 91105-1945
Phone
(626) 318-9174
Fax
(626) 356-1888
NPI assigned
May 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2016

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

Authorized official

Name
Ms. Fei He, LA.CNPI 1013145390
Title
Owner
Phone
(626) 318-9174

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 8215 CA Primary

Addresses

Primary practice location

1 S Fair Oaks Ave Ste 205
Pasadena, CA 91105-1945

Mailing address

1 S Fair Oaks Ave Ste 205
Pasadena, CA 91105-1945
Phone (626) 318-9174

Other identifiers 1

IdentifierTypeStateIssuer
8215OtherCALA.C

National Provider Directory

National Provider Directory

Locations

1 S Fair Oaks Ave
Ste 205
Pasadena, CA 91105
Phone (626) 318-9174

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": "1464393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464393600000",
    "number": "1912355181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S FAIR OAKS AVE STE 205",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911051945",
            "telephone_number": "626-318-9174",
            "fax_number": "626-356-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S FAIR OAKS AVE STE 205",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911051945",
            "telephone_number": "626-318-9174",
            "fax_number": "626-356-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLER ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-28",
        "last_updated": "2016-05-28",
        "status": "A",
        "authorized_official_last_name": "HE",
        "authorized_official_first_name": "FEI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-318-9174",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LA.C"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "8215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA.C",
            "identifier": "8215",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2016; 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.