Active NPI
Sumi Won
- Acupuncturist
- Tustin, CA
National Provider Identifier
1013646041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 19010
- Practice address
- 12721 Newport Ave Ste 2
Tustin, CA 92780-8031 - Phone
- (949) 527-8348
- NPI assigned
- Jun 6, 2022
- 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 | 19010 | CA | Primary |
Addresses
Primary practice location
12721 Newport Ave Ste 2
Tustin, CA 92780-8031
Mailing address
12721 Newport Ave Ste 2
Tustin, CA 92780-8031
Phone (949) 527-8348
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 |
|---|---|---|---|
| 19010 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1013646041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12721 NEWPORT AVE STE 2",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927808031",
"telephone_number": "949-527-8348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12721 NEWPORT AVE STE 2",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927808031",
"telephone_number": "949-527-8348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WON",
"first_name": "SUMI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-06",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "19010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.