Individual provider Active NPI

Seungman Yu

  • Acupuncturist
  • Roseville, CA
National Provider Identifier
1083018402
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 15888 Issued in CA
Practice address
755 Sunrise Ave Ste 115
Roseville, CA 95661-4583
Phone
(916) 786-6055
NPI assigned
Oct 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 15888 CA Primary

Addresses

Primary practice location

755 Sunrise Ave Ste 115
Roseville, CA 95661-4583

Mailing address

8123 Sunrise Blvd Apt 264
Citrus Heights, CA 95610-1561
Phone (916) 586-5302

Other practice location 1

3350 scott blvd.
47
santa clara, CA 95054
Phone (408) 480-2860

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
AC 15888CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Acupuncture Health Clinics, Inc Past Accepting new patients
Roseville Birthing Center Past Accepting new patients
Russell and Ross Chiropractic Centre PastSince Jan 23, 2013 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1083018402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8123 SUNRISE BLVD APT 264",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956101561",
            "telephone_number": "916-586-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 SUNRISE AVE STE 115",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614583",
            "telephone_number": "916-786-6055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3350 scott blvd.",
            "address_2": "47",
            "address_purpose": "LOCATION",
            "city": "santa clara",
            "state": "CA",
            "postal_code": "95054",
            "country_code": "US",
            "telephone_number": "408-480-2860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YU",
        "first_name": "SEUNGMAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-14",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 15888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.