Organization Active NPI

Jean Yu

  • Exclusive Provider Organization
  • San Luis Obispo, CA
National Provider Identifier
1982154381
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
AC3174 Issued in CA
Legal business name
JEAN YU
Practice address
1415 Higuera St
San Luis Obispo, CA 93401-2915
Phone
(805) 543-8958
Fax
(805) 543-4403
NPI assigned
Oct 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Authorized official

Name
Jean Yu
Title
Acupunturist
Phone
(805) 543-8958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X AC3174 CA Primary

Addresses

Primary practice location

1415 Higuera St
San Luis Obispo, CA 93401-2915

Mailing address

1415 Higuera St
San Luis Obispo, CA 93401-2915
Phone (805) 543-8958

National Provider Directory

National Provider Directory

Locations

1415 Higuera St
San Luis Obispo, CA 93401
Phone (805) 543-8958

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1982154381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 HIGUERA ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012915",
            "telephone_number": "805-543-8958",
            "fax_number": "805-543-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 HIGUERA ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012915",
            "telephone_number": "805-543-8958",
            "fax_number": "805-543-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN YU",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "ACUPUNTURIST",
        "authorized_official_telephone_number": "805-543-8958"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "AC3174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.