Individual provider Active NPI

Chien Chih Wu

  • Acupuncturist
  • Mountain View, CA
National Provider Identifier
1922435197
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
15674 Issued in CA
Practice address
1075 Space Park Way
SPC 281
Mountain View, CA 94043-1416
Phone
(650) 399-6968
NPI assigned
Oct 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 15674 CA Primary

Addresses

Primary practice location

1075 Space Park Way
SPC 281
Mountain View, CA 94043-1416

Mailing address

1075 Space Park Way
SPC 281
Mountain View, CA 94043-1416
Phone (650) 399-6968

Other identifiers 1

IdentifierTypeStateIssuer
15674OtherCAACUPUNCTURIST

Other names 1

  • Mr. Jack Wu 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
15674CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hermosa Health Center Past Accepting new patients
Soothing Hands Medical Group PastSince Jun 14, 2020 Accepting new patients

Organizations & group practices 2

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": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1922435197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 SPACE PARK WAY",
            "address_2": "SPC 281",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940431416",
            "telephone_number": "650-399-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 SPACE PARK WAY",
            "address_2": "SPC 281",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940431416",
            "telephone_number": "650-399-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "CHIEN CHIH",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "15674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURIST",
            "identifier": "15674",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "WU",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.