NPIMap

Organization Active NPI

SC Acupuncture and Integrative Health Inc

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1932768652
Registry record updated Dec 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SC ACUPUNCTURE AND INTEGRATIVE HEALTH INC
Practice address
4638 Park Blvd
San Diego, CA 92116-8601
Phone
(619) 220-0878
NPI assigned
Jun 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2020

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

Authorized official

Name
Dr. Sophia ChangNPI 1427577576
Title
President
Phone
(619) 220-0878

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

4638 Park Blvd
San Diego, CA 92116-8601

Mailing address

4638 Park Blvd
San Diego, CA 92116-8601

Other names 1

  • Pure Health Alliance Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607126400000",
    "number": "1932768652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4638 PARK BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921168601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4638 PARK BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921168601",
            "telephone_number": "619-220-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SC ACUPUNCTURE AND INTEGRATIVE HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2020-12-05",
        "certification_date": "2020-12-05",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-220-0878",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Health Alliance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pure Health Alliance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 5, 2020; 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.