Organization Active NPI

Sports Wellness and Chinese Medicine

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1922687359
Registry record updated Apr 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SPORTS WELLNESS AND CHINESE MEDICINE
Practice address
3920 Leland St Apt D2
San Diego, CA 92106-1044
Phone
(240) 515-0006
NPI assigned
Apr 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2021

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

Authorized official

Name
Erica Chao, DACM, L.AC, CMTNPI 1528647948
Title
Doctor
Phone
(240) 515-0006

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

3920 Leland St Apt D2
San Diego, CA 92106-1044

Mailing address

3920 Leland St Apt D2
San Diego, CA 92106-1044
Phone (240) 515-0006

National Provider Directory

National Provider Directory

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": "1617494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617494400000",
    "number": "1922687359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 LELAND ST APT D2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921061044",
            "telephone_number": "240-515-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 LELAND ST APT D2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921061044",
            "telephone_number": "240-515-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS WELLNESS AND CHINESE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-04",
        "last_updated": "2021-04-04",
        "certification_date": "2021-04-04",
        "status": "A",
        "authorized_official_last_name": "CHAO",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "240-515-0006",
        "authorized_official_credential": "DACM, L.AC, CMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2021; 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.