Moonhwan Im

Primary specialty

AcupuncturistTaxonomy code 171100000X

Practice address

730 E El Camino Real Ste B
Sunnyvale, CA 94087-2971

Phone

(408) 426-8281

Fax

(833) 305-0201

NPI assigned

Jun 18, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Moon Im Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ucee Acupuncture Clinic Inc

  • Acupuncturist
  • Sunnyvale, CA
  • NPI 1487217329
  NPD Authorized official

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627084800000",
    "number": "1043704547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8195 PRESIDIO DR",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950144027",
            "telephone_number": "707-696-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 E EL CAMINO REAL STE B",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872971",
            "telephone_number": "408-426-8281",
            "fax_number": "833-305-0201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 Stewart Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940854513",
            "country_code": "US",
            "telephone_number": "408-426-8281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IM",
        "first_name": "MOONHWAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2021-07-24",
        "certification_date": "2021-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC18114",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE FILE NUMBER",
            "identifier": "4252817",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PatientAlly",
            "affiliation": "N",
            "address_1": "830 Stewart Dr Ste 150",
            "city": "Sunnyvale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940854513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MOON",
            "last_name": "IM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Acupuncturist in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2021; 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.