NPIMap

Organization Active NPI

Sequoyah Acupuncture Clinic

  • Acupuncturist
  • Oakland, CA
National Provider Identifier
1104008531
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
12081 Issued in CA
Legal business name
SEQUOYAH ACUPUNCTURE CLINIC
Practice address
4400 Keller Ave
Suite 250
Oakland, CA 94605-4281
Phone
(510) 653-2964
NPI assigned
Nov 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Sung Hyup Kim, LA.CNPI 1881878072
Title
Partner
Phone
(510) 653-2964

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 12081 CA Primary

Addresses

Primary practice location

4400 Keller Ave
Suite 250
Oakland, CA 94605-4281

Mailing address

4400 Keller Ave
Suite 250
Oakland, CA 94605-4281
Phone (510) 653-2964

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1104008531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 KELLER AVE",
            "address_2": "SUITE 250",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946054281",
            "telephone_number": "510-653-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 KELLER AVE",
            "address_2": "SUITE 250",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946054281",
            "telephone_number": "510-653-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOYAH ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "HYUP",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "510-653-2964",
        "authorized_official_credential": "LA.C"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "12081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.