Active NPI
May B Mok, CA
- Acupuncturist
- W Covina, CA
National Provider Identifier
1063584969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC4150
- Practice address
- 1043 S Glendora Ave
#D
W Covina, CA 91790 - Phone
- (626) 960-6877
- Fax
- (626) 960-6877
- NPI assigned
- Nov 15, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | AC4150 | CA | Primary |
Addresses
Primary practice location
1043 S Glendora Ave
#D
W Covina, CA 91790
Mailing address
1043 S Glendora Ave
#D
W Covina, CA 91790
Phone (626) 960-6877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1410826 | Medicaid | GA |
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 |
|---|---|---|---|
| AC4150 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063584969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1043 S GLENDORA AVE",
"address_2": "#D",
"city": "W COVINA",
"state": "CA",
"postal_code": "91790",
"telephone_number": "626-960-6877",
"fax_number": "626-960-6877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1043 S GLENDORA AVE",
"address_2": "#D",
"city": "W COVINA",
"state": "CA",
"postal_code": "91790",
"telephone_number": "626-960-6877",
"fax_number": "626-960-6877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOK",
"first_name": "MAY",
"middle_name": "B",
"credential": "CA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC4150",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1410826",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in W Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.