Individual provider Active NPI

Chunming Hsiao, L.AC

  • Acupuncturist
  • Lake Forest, CA
National Provider Identifier
1912418492
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC17765 Issued in CA
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

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC17765 CA Primary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

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

LicenseStateTypeSpecialty
AC17765CAMDAcupuncturist
33154CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.