Active NPI
Youngsil Yong
- Acupuncturist
- Santa Clara, CA
National Provider Identifier
1992254965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC16873
- Practice address
- 3031 Kaiser Dr
Unit C
Santa Clara, CA 95051-4747 - Phone
- (408) 234-4331
- NPI assigned
- Sep 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC16873 | CA | Primary |
Addresses
Primary practice location
3031 Kaiser Dr
Unit C
Santa Clara, CA 95051-4747
Mailing address
3031 Kaiser Dr
Unit C
Santa Clara, CA 95051-4747
Phone (408) 234-4331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171100000X | Other | CA | ACUPUNCTURE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC16873 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475193600000",
"number": "1992254965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 KAISER DR",
"address_2": "UNIT C",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950514747",
"telephone_number": "408-234-4331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 KAISER DR",
"address_2": "UNIT C",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950514747",
"telephone_number": "408-234-4331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YONG",
"first_name": "YOUNGSIL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-30",
"last_updated": "2016-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC16873",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE",
"identifier": "171100000X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.