Organization Active NPI

Stone Bridge Wellness Inc

  • Acupuncturist
  • Newark, CA
National Provider Identifier
1992536635
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
STONE BRIDGE WELLNESS INC
Practice address
36719 Port Tidewood St
Newark, CA 94560-3245
Phone
(650) 289-8378
NPI assigned
Aug 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Authorized official

Name
Shi QiaoNPI 1689399438
Title
Owner
Phone
(650) 289-8378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

36719 Port Tidewood St
Newark, CA 94560-3245

Mailing address

36719 Port Tidewood St
Newark, CA 94560-3245

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1992536635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36719 PORT TIDEWOOD ST",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945603245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36719 PORT TIDEWOOD ST",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945603245",
            "telephone_number": "650-289-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE BRIDGE WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "QIAO",
        "authorized_official_first_name": "SHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-289-8378"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.