Active NPI
Inyoung Ha, ACUPUNCTURIST
- Acupuncturist
- San Jose, CA
National Provider Identifier
1053804211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC18037
- Practice address
- 1240 San Tomas Aquino Rd Apt 106a
San Jose, CA 95117-3373 - Phone
- (925) 255-3888
- NPI assigned
- Jun 12, 2018
- Last updated
- Jun 12, 2018
- Sex
- Female
- 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 | AC18037 | CA | Primary |
Addresses
Primary practice location
1240 San Tomas Aquino Rd Apt 106a
San Jose, CA 95117-3373
Mailing address
1240 San Tomas Aquino Rd Apt 106a
San Jose, CA 95117-3373
Phone (925) 255-3888
Other names 1
- Ms. Inyoung Ha Venegas
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 |
|---|---|---|---|
| AC18037 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otimolife Acupuncture Inc. | Acupuncturist | Current | Accepting new patients |
Locations
5150 Graves Ave
Ste 5B
San Jose, CA 95129
Phone (408) 517-0560
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Acupuncturist
- San Jose, CA
- NPI 1093676553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1053804211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 SAN TOMAS AQUINO RD APT 106A",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951173373",
"telephone_number": "925-255-3888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 SAN TOMAS AQUINO RD APT 106A",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951173373",
"telephone_number": "925-255-3888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HA",
"first_name": "INYOUNG",
"credential": "ACUPUNCTURIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-12",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC18037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "INYOUNG",
"last_name": "VENEGAS",
"middle_name": "HA",
"prefix": "MS.",
"credential": "ACUPUNCTURIST",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.