Individual provider Active NPI

Jung S Kim, DAOM

  • Acupuncturist
  • San Francisco, CA
National Provider Identifier
1245592518
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC6849 Issued in CA
Practice address
1674 Post St Ste 3
San Francisco, CA 94115-3682
Phone
(415) 361-0607
NPI assigned
Jun 13, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 6849 CA
Acupuncturist 171100000X AC6849 CA Primary

Addresses

Primary practice location

1674 Post St Ste 3
San Francisco, CA 94115-3682

Mailing address

1674 Post St Ste 3
San Francisco, CA 94115-3682
Phone (415) 361-0607

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
6849CAMDProfessional Counselor
AC6849CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Jung Kim Acupuncture Acupuncturist CurrentSince Jun 15, 2025 Accepting new patients

Locations

1674 Post St
Ste 3
San Francisco, CA 94115
Phone (415) 361-0607

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": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1245592518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1674 POST ST STE 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153682",
            "telephone_number": "415-361-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1674 POST ST STE 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153682",
            "telephone_number": "415-361-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JUNG",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DAOM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-13",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "6849",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.