Xiaoming Shen, MSTCM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

18189 Issued in CA

Practice address

710 C St Ste 9
San Rafael, CA 94901-3853

Phone

(415) 830-8851

NPI assigned

Jul 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha Shen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1972089159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HARBOR VIEW CT",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949014211",
            "telephone_number": "415-830-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 C ST STE 9",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013853",
            "telephone_number": "415-830-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "XIAOMING",
        "credential": "MSTCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "18189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "SHEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wendy E. Shearn, MD
• Inna Yakovlevna Sheinson, MD
• Jill Amy Sheldon, MFTI
• Grayson Anne Shell
• Rebecca Anne Shelley, NP
• Suzanna Kay Sherer, NP
• Jacob Michael Sherfield
• David Scott Sherman, R.PH.
• Jessica Jude Sherman, MFT
• Frank Larry Sherwood Jr.

• Acupuncturist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.