Active NPI
Chunming Hsiao, L.AC
- Acupuncturist
- Lake Forest, CA
National Provider Identifier
1912418492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC17765
- Practice address
- 22706 Aspan St Ste 300
Lake Forest, CA 92630-1603 - Phone
- (949) 472-6391
- Fax
- (949) 472-6414
- NPI assigned
- Oct 24, 2017
- Reactivated
- Sep 25, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC17765 | CA | Primary |
| Massage Therapist | 225700000X | 33154 | CA |
Addresses
Primary practice location
22706 Aspan St Ste 300
Lake Forest, CA 92630-1603
Mailing address
1 League Unit 61562
Irvine, CA 92602-7072
Other names 1
- Bruce C. Hsiao
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 |
|---|---|---|---|
| AC17765 | CA | MD | Acupuncturist |
| 33154 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BCH Acupuncture & Herbal Medicine, Inc. | Acupuncturist | Current | Accepting new patients |
Locations
1 League
Unit 61562
Irvine, CA 92602
22706 Aspan St
Ste 300
Lake Forest, CA 92630
Phone (949) 472-6391
Organizations & group practices 1
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
- Lake Forest, CA
- NPI 1710462478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537920000000",
"number": "1912418492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LEAGUE UNIT 61562",
"city": "IRVINE",
"state": "CA",
"postal_code": "926027072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22706 ASPAN ST STE 300",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926301603",
"telephone_number": "949-472-6391",
"fax_number": "949-472-6414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HSIAO",
"first_name": "CHUNMING",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-24",
"last_updated": "2018-09-26",
"deactivation_date": "2018-01-23",
"reactivation_date": "2018-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC17765",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "CA",
"license": "33154",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRUCE",
"last_name": "HSIAO",
"middle_name": "C.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.