Active NPI
Jin Ah, L.AC
- Acupuncturist
- San Diego, CA
National Provider Identifier
1235493602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC14781
- Practice address
- 2425 Camino de Rio South
Suite 180
San Diego, CA 92118 - Phone
- (619) 467-6067
- NPI assigned
- Jun 29, 2012
- Sex
- Female
- 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 | AC14781 | CA | Primary |
Addresses
Primary practice location
2425 Camino de Rio South
Suite 180
San Diego, CA 92118
Mailing address
2425 Camino del Rio South
Suite 180
San Diego, CA 92118
Phone (619) 467-6067
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 |
|---|---|---|---|
| AC14781 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455580800000",
"number": "1235493602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 CAMINO DEL RIO SOUTH",
"address_2": "SUITE 180",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92118",
"telephone_number": "619-467-6067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 CAMINO DE RIO SOUTH",
"address_2": "SUITE 180",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92118",
"telephone_number": "619-467-6067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AH",
"first_name": "JIN",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-29",
"last_updated": "2016-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC14781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.