Individual provider Active NPI

Senghee Jin-Kim, L.AC

  • Acupuncturist
  • Fullerton, CA
National Provider Identifier
1023222544
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC9513 Issued in CA
Practice address
2334 W Valencia Dr
Fullerton, CA 92833-3128
Phone
(714) 626-0003
Fax
(714) 626-0304
NPI assigned
May 10, 2007
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 AC9513 CA Primary

Addresses

Primary practice location

2334 W Valencia Dr
Fullerton, CA 92833-3128

Mailing address

2334 W Valencia Dr
Fullerton, CA 92833-3128
Phone (714) 626-0003

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
AC9513CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Acupuncture Nara Inc Acupuncturist PastSince Jun 25, 2023 Accepting new patients
Acupuncture Nara Inc PastSince Jul 24, 2022 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023222544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 W VALENCIA DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928333128",
            "telephone_number": "714-626-0003",
            "fax_number": "714-626-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 W VALENCIA DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928333128",
            "telephone_number": "714-626-0003",
            "fax_number": "714-626-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIN-KIM",
        "first_name": "SENGHEE",
        "name_prefix": "Dr.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, 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.