Organization Active NPI

Sierra Acupuncture Group

  • Acupuncturist
  • Newport Beach, CA
National Provider Identifier
1053698183
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC8662 Issued in CA
Legal business name
SIERRA ACUPUNCTURE GROUP
Practice address
430 32ND St
Suite 100
Newport Beach, CA 92663-3863
Phone
(213) 820-3641
Fax
(949) 723-6129
NPI assigned
Nov 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Nam S Lee
Title
President
Phone
(213) 820-3641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC8662 CA Primary

Addresses

Primary practice location

430 32ND St
Suite 100
Newport Beach, CA 92663-3863

Mailing address

430 32ND St
Suite 100
Newport Beach, CA 92663-3863
Phone (213) 820-3641

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1053698183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 32ND ST",
            "address_2": "SUITE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633863",
            "telephone_number": "213-820-3641",
            "fax_number": "949-723-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 32ND ST",
            "address_2": "SUITE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633863",
            "telephone_number": "213-820-3641",
            "fax_number": "949-723-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA ACUPUNCTURE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "NAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-820-3641"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC8662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.