Fred Dong Acupuncture

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

12102 Issued in CA

Legal business name

FRED DONG ACUPUNCTURE

Practice address

430 Monterey Ave Ste 1B
Los Gatos, CA 95030-5323

Phone

(408) 399-9888

NPI assigned

Mar 27, 2008

Last updated

Apr 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sun C Dong, L.AC

Title

President

Phone

(408) 366-1330

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yun Chung Wang

  • Acupuncturist
  • Los Gatos, CA
  • NPI 1649628579
  NPD (past)

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1972775260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MONTEREY AVE STE 1B",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950305323",
            "telephone_number": "408-399-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MONTEREY AVE STE 1B",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950305323",
            "telephone_number": "408-399-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED DONG ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "DONG",
        "authorized_official_first_name": "SUN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-366-1330",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "12102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "12102",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Francisco
• Carissa Francisco, DPT
• Isaac Irwin Franco I
• Kathryn Fraser, PH.D.
• Susan Frazer
• Frederic J Collins MD Inc
• Lisa D'Ann Freedman, LMFT
• Marilyn Ann Freeman, M.A.-CCC-SLP
• William C Frey, D.M.D.
• Andrea Friese, D.C.

• Health Maintenance Organization in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.