Individual provider Active NPI

Byungsik Cho, L. AC

  • Acupuncturist
  • Fullerton, CA
National Provider Identifier
1083846604
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
12936 Issued in CA
Practice address
1649 Camden PL
Fullerton, CA 92833-2056
Phone
(714) 397-0004
NPI assigned
Aug 15, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 12936 CA Primary

Addresses

Primary practice location

1649 Camden PL
Fullerton, CA 92833-2056

Mailing address

1649 Camden PL
Fullerton, CA 92833-2056
Phone (714) 397-0004

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
12936CAMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1250294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1083846604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 CAMDEN PL",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332056",
            "telephone_number": "714-397-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 CAMDEN PL",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332056",
            "telephone_number": "714-397-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "BYUNGSIK",
        "name_prefix": "Mr.",
        "credential": "L. AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-15",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "12936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.