Active NPI
Cheol H Won, AC
- Acupuncturist
- Santa Clara, CA
National Provider Identifier
1053576892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC12203
- Practice address
- 1572 Los Padres Blvd Ste 201
Santa Clara, CA 95050-4472 - Phone
- (408) 246-3559
- NPI assigned
- Jul 21, 2008
- 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 | AC12203 | CA | Primary |
Addresses
Primary practice location
1572 Los Padres Blvd Ste 201
Santa Clara, CA 95050-4472
Mailing address
1572 Los Padres Blvd Ste 201
Santa Clara, CA 95050-4472
Phone (408) 246-3559
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC12203 | Other | CA | LINCESE |
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 |
|---|---|---|---|
| AC12203 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newem Inc | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Acupuncturist
- Santa Clara, CA
- NPI 1336304161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216598400000",
"number": "1053576892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1572 LOS PADRES BLVD STE 201",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950504472",
"telephone_number": "408-246-3559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1572 LOS PADRES BLVD STE 201",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950504472",
"telephone_number": "408-246-3559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WON",
"first_name": "CHEOL",
"middle_name": "H",
"credential": "AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-21",
"last_updated": "2008-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC12203",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LINCESE",
"identifier": "AC12203",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.