Individual provider Active NPI

Heesuk Cho

  • Acupuncturist
  • Santa Ana, CA
National Provider Identifier
1205550811
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
19404 Issued in CA
Practice address
1204 S Bristol St # D7
Santa Ana, CA 92704-3422
Phone
(425) 408-1006
NPI assigned
Sep 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 19404 CA Primary

Addresses

Primary practice location

1204 S Bristol St # D7
Santa Ana, CA 92704-3422

Mailing address

1717 Sunrise LN
Fullerton, CA 92833-1729
Phone (425) 408-1006

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
19404CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunlight Acupuncture & Herbs Inc Acupuncturist CurrentSince Jun 18, 2023 Accepting new patients

Locations

405 S State College Blvd
Ste 205
Brea, CA 92821
Phone (714) 582-6235

Organizations & group practices 1

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": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1205550811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SUNRISE LN",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928331729",
            "telephone_number": "425-408-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 S BRISTOL ST # D7",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927043422",
            "telephone_number": "425-408-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "HEESUK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.