Individual provider Active NPI

Amy Ping Yang, L.AC.

  • Acupuncturist
  • San Jose, CA
National Provider Identifier
1982268702
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC18502 Issued in CA
Practice address
1630 Oakland Rd Ste A118
San Jose, CA 95131-2461
Phone
(408) 858-3836
NPI assigned
Apr 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC18502 CA Primary

Addresses

Primary practice location

1630 Oakland Rd Ste A118
San Jose, CA 95131-2461

Mailing address

2243 Bentley Ridge Dr
San Jose, CA 95138-2424
Phone (408) 858-3836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC18502CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Wisdom Bay Area Acupuncture and Traditional Chinese Herbs Corp Acupuncturist Current Accepting new patients

Locations

1630 Oakland Rd
Ste A118
San Jose, CA 95131
Phone (408) 597-2261

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1982268702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2243 BENTLEY RIDGE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951382424",
            "telephone_number": "408-858-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 OAKLAND RD STE A118",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312461",
            "telephone_number": "408-858-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "AMY",
        "middle_name": "PING",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC18502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.