Active NPI
Hyun Mo Chung, L.AC.
- Acupuncturist
- Pleasanton, CA
National Provider Identifier
1033248398
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective Apr 20, 2011.
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC007067
- Practice address
- 4725 1St St Ste 270
Pleasanton, CA 94566-7136 - Phone
- (925) 249-9642
- Fax
- (925) 249-9643
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- 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 | AC007067 | CA | Primary |
Addresses
Primary practice location
4725 1St St Ste 270
Pleasanton, CA 94566-7136
Mailing address
4725 1St St Ste 270
Pleasanton, CA 94566-7136
Phone (925) 249-9642
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC007067 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033248398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4725 1ST ST STE 270",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945667136",
"telephone_number": "925-249-9642",
"fax_number": "925-249-9643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4725 1ST ST STE 270",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945667136",
"telephone_number": "925-249-9642",
"fax_number": "925-249-9643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "HYUN",
"middle_name": "MO",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC007067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.