Active NPI
Jason Jongwoon Kim, ACUPUNCTURIST
- Acupuncturist
- Gardena, CA
National Provider Identifier
1245451772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 9925
- Practice address
- 16303 S. Western Ave.
Suite 9
Gardena, CA 90247-4674 - Phone
- (310) 538-9917
- Fax
- (310) 538-9918
- NPI assigned
- May 1, 2007
- 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 | 9925 | CA | Primary |
Addresses
Primary practice location
16303 S. Western Ave.
Suite 9
Gardena, CA 90247-4674
Mailing address
16303 S. Western Ave.
Suite 9
Gardena, CA 90247-4674
Phone (310) 538-9917
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459987200000",
"number": "1245451772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16303 S. WESTERN AVE.",
"address_2": "SUITE 9",
"city": "GARDENA",
"state": "CA",
"postal_code": "902474674",
"telephone_number": "310-538-9917",
"fax_number": "310-538-9918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16303 S. WESTERN AVE.",
"address_2": "SUITE 9",
"city": "GARDENA",
"state": "CA",
"postal_code": "902474674",
"telephone_number": "310-538-9917",
"fax_number": "310-538-9918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JASON",
"middle_name": "JONGWOON",
"credential": "ACUPUNCTURIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2016-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "9925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.