Individual provider Active NPI

Lumiel Kim-Hammerich, L.AC.

  • Acupuncturist
  • San Rafael, CA
National Provider Identifier
1023018603
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
5055 Issued in CA
Practice address
1299 4TH St
Suite 509
San Rafael, CA 94901-3040
Phone
(415) 302-8507
Fax
(415) 485-6221
NPI assigned
Jul 26, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 5055 CA Primary

Addresses

Primary practice location

1299 4TH St
Suite 509
San Rafael, CA 94901-3040

Mailing address

1299 4TH St
Suite 509
San Rafael, CA 94901-3040
Phone (415) 302-8507

Other names 1

  • Lumiel Kim Former name

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
5055CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023018603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 4TH ST",
            "address_2": "SUITE 509",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013040",
            "telephone_number": "415-302-8507",
            "fax_number": "415-485-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 4TH ST",
            "address_2": "SUITE 509",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013040",
            "telephone_number": "415-302-8507",
            "fax_number": "415-485-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM-HAMMERICH",
        "first_name": "LUMIEL",
        "name_prefix": "Mrs.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "5055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUMIEL",
            "last_name": "KIM",
            "credential": "L.AC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.