Active NPI
Jeshik Yi, LAC
- Acupuncturist
- Highland, CA
National Provider Identifier
1104096890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC5541
- Practice address
- 7275 Boulder Ave.
#3B
Highland, CA 92346 - Phone
- (909) 863-7597
- Fax
- (909) 863-7597
- NPI assigned
- Mar 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | AC5541 | CA | Primary |
Addresses
Primary practice location
7275 Boulder Ave.
#3B
Highland, CA 92346
Mailing address
7275 Boulder Ave # 3B
Highland, CA 92346-3385
Phone (909) 863-7597
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 |
|---|---|---|---|
| AC5541 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1104096890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7275 BOULDER AVE # 3B",
"city": "HIGHLAND",
"state": "CA",
"postal_code": "923463385",
"telephone_number": "909-863-7597",
"fax_number": "909-863-7597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7275 BOULDER AVE.",
"address_2": "#3B",
"city": "HIGHLAND",
"state": "CA",
"postal_code": "92346",
"telephone_number": "909-863-7597",
"fax_number": "909-863-7597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YI",
"first_name": "JESHIK",
"name_prefix": "Dr.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-10",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC5541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.