Individual provider Active NPI

Agatha Suk

  • Acupuncturist
  • Hayward, CA
National Provider Identifier
1215474226
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
17463 Issued in CA
Practice address
917 C St
Hayward, CA 94541-5122
Phone
(510) 889-8062
Fax
(510) 537-6380
NPI assigned
Jan 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 17463 CA Primary

Addresses

Primary practice location

917 C St
Hayward, CA 94541-5122

Mailing address

917 C St
Hayward, CA 94541-5122
Phone (510) 889-8062

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
17463CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Acupuncture Professional Corporation Acupuncturist CurrentSince Jun 18, 2023 Accepting new patients

Locations

917 C St
Hayward, CA 94541
Phone (510) 889-8062

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": "1485561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1215474226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 C ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945415122",
            "telephone_number": "510-889-8062",
            "fax_number": "510-537-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 C ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945415122",
            "telephone_number": "510-889-8062",
            "fax_number": "510-537-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUK",
        "first_name": "AGATHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-28",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "17463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.