Individual provider Active NPI

Jia Yang, L. AC.

  • Acupuncturist
  • Pleasanton, CA
National Provider Identifier
1922157395
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC7920 Issued in CA
Practice address
4460 Black Ave Ste I
Pleasanton, CA 94566-6139
Phone
(925) 339-1548
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC7920 CA Primary

Addresses

Primary practice location

4460 Black Ave Ste I
Pleasanton, CA 94566-6139

Mailing address

4460 Black Ave Ste I
Pleasanton, CA 94566-6139
Phone (925) 339-1548

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
AC7920CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Jia Yang Acupuncture Clinic, Inc Acupuncturist CurrentSince Dec 13, 2022 Accepting new patients

Locations

4460 Black Ave
Ste I
Pleasanton, CA 94566
Phone (925) 339-1548

6668 Owens Dr
Pleasanton, CA 94588
Phone (925) 621-2200

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1922157395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 BLACK AVE STE I",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666139",
            "telephone_number": "925-339-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 BLACK AVE STE I",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666139",
            "telephone_number": "925-339-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "JIA",
        "credential": "L. AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC7920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.