LONGEVITY MEDICAL CENTER (NPI# 1518373620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518373620 |
| Entity Type | Organization |
| Organization Name | LONGEVITY MEDICAL CENTER |
| Practice Address |
1630 Oakland Rd Ste A115 San Jose CA 95131-2461 |
| Practice Telephone | 4089825290 |
| Mailing Telephone | 4089825290 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |
| Authorized Official Name | GRACE YU (MANAGER) |
| Authorized Official Telephone | 4158126527 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC15777 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972760213 | Longevity Medical Center | Family Medicine | 2211 Corinth Ave, #204, Los Angeles, CA 90064-1650 | 2008-05-22 |
| Street Address |
1630 OAKLAND RD STE A115 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95131-2461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033442306 | Zheng Chen | Optometrist | 1630 Oakland Rd Ste A115, San Jose, CA 95131-2461 | 2009-09-17 |
| 1255714655 | Yu-ju Lin | Optometrist | 1630 Oakland Rd Ste A115, San Jose, CA 95131-2461 | 2015-07-02 |
| 1073994331 | Stephen Yip | Acupuncturist | 1630 Oakland Rd Ste A115, San Jose, CA 95131-2461 | 2015-06-12 |
| 1437590114 | Minyi Ou | Acupuncturist | 1630 Oakland Rd Ste A115, San Jose, CA 95131-2461 | 2013-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346881489 | Herbal Lands Inc | Acupuncturist | 2485 Autumnvale Dr, Ste D, San Jose, CA 95131 | 2019-09-30 |
| 1194373340 | Leylard Santos Caballes | Home Health Aide | 2272 Zoria Circle, San Jose, CA 95131 | 2019-08-30 |
| 1851953848 | Nu Herbal House | Chiropractor | 2092 Concourse Dr #85, San Jose, CA 95131 | 2019-07-01 |
| 1316417900 | Peter Cellarius | Behavior Technician | 2010 N. First St. Ste 402, San Jose, CA 95131 | 2018-11-27 |
| 1285103697 | Connie Bustillo | Case Manager/Care Coordinator | 1356 Ridder Park Drive, San Jose, CA 95131 | 2018-11-14 |
| 1831692722 | Nicholas Jordon Thompson | Counselor | 2218 North First Street, San Jose, CA 95131 | 2018-03-16 |
| 1376072637 | Lee's Care Home | Assisted Living Facility | 5225 Gallant Fox Avenue, San Jose, CA 95131 | 2017-06-08 |
| 1972984649 | Maria De La Luz Gonzalez | Counselor | 1885 Lundy Ave. Suite 223, San Jose, CA 95131 | 2015-06-17 |
| 1720470412 | Bridget Martinez | Physical Therapist | 1172 Murphy Ave #227, San Jose, CA 95131 | 2015-03-04 |
| 1609275593 | Cheryl Lozano | Community Health Worker | 1885 Lundy Ave, Ste 223, San Jose, CA 95131 | 2014-08-18 |
| Find all providers in zip 95131 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918318 | Four Seasons Therapy Center | Acupuncturist | 384 Pinefield Rd, San Jose, CA 95134-1239 | 2020-10-08 |
| 1558979773 | Liang Chen | Acupuncturist | 952 S 11th St Unit 230, San Jose, CA 95112-2477 | 2020-07-14 |
| 1316573579 | Rejuvenate Eastern Healthcare, Inc. | Acupuncturist | 6424 Canterbury Ct, San Jose, CA 95129-3966 | 2020-03-19 |
| 1104457639 | Harmony Health Center | Acupuncturist | 4125 Blackford Ave Ste 128, San Jose, CA 95117-1704 | 2020-02-03 |
| 1659901221 | Wellcare Health Group Inc | Acupuncturist | 1080 Minnesota Ave Ste 3, San Jose, CA 95125-2400 | 2020-01-22 |
| 1255979167 | Yi Hua Chen | Acupuncturist | 613 Dadis Way, San Jose, CA 95111-1178 | 2019-12-11 |
| 1588201669 | Zenhsin Holistic Health | Acupuncturist | 3593 Cobbert Dr, San Jose, CA 95148-3107 | 2019-12-07 |
| 1740826072 | Yang Zhou | Acupuncturist | 4539 Norwich Way, San Jose, CA 95130-2054 | 2019-11-21 |
| 1700427697 | Gye Youn Sung | Acupuncturist | 360 Auburn Way Apt 21, San Jose, CA 95129-1651 | 2019-10-02 |
| 1346881489 | Herbal Lands Inc | Acupuncturist | 2485 Autumnvale Dr, Ste D, San Jose, CA 95131 | 2019-09-30 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.