Individual provider Active NPI

Inyoung Ha, ACUPUNCTURIST

  • Acupuncturist
  • San Jose, CA
National Provider Identifier
1053804211
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC18037 Issued in CA
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
AC18037CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Otimolife Acupuncture Inc. Acupuncturist CurrentSince Nov 24, 2025 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.

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.

Verify at the official NPI Registry.