Organization Active NPI

Nexus Acupuncture & Wellness

  • Acupuncturist
  • Garden Grove, CA
National Provider Identifier
1063282200
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
NEXUS ACUPUNCTURE & WELLNESS
Practice address
12832 Garden Grove Blvd Ste a
Garden Grove, CA 92843-2014
Phone
(714) 467-0293
Fax
(714) 467-0298
NPI assigned
Jan 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Junghee Jason Kim, LAC
Title
Ceo
Phone
(714) 467-6966

Specialties & licenses 1

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

Addresses

Primary practice location

12832 Garden Grove Blvd Ste a
Garden Grove, CA 92843-2014

Mailing address

12832 Garden Grove Blvd Ste a
Garden Grove, CA 92843-2014
Phone (714) 467-0293

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1063282200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12832 GARDEN GROVE BLVD STE A",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432014",
            "telephone_number": "714-467-0293",
            "fax_number": "714-467-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12832 GARDEN GROVE BLVD STE A",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432014",
            "telephone_number": "714-467-0293",
            "fax_number": "714-467-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS ACUPUNCTURE & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JUNGHEE",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-467-6966",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.