Individual provider Active NPI

Jeong Yoon Ha

  • Acupuncturist
  • Buena Park, CA
National Provider Identifier
1275091837
Registry record updated Mar 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC17200 Issued in CA
Practice address
5730 Beach Blvd # 102
Buena Park, CA 90621-2094
Phone
(714) 522-1600
NPI assigned
Mar 3, 2019
Last updated
Mar 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC17200 CA Primary

Addresses

Primary practice location

5730 Beach Blvd # 102
Buena Park, CA 90621-2094

Mailing address

2144 Cittadin Dr
Fullerton, CA 92833-5757
Phone (310) 893-4709

Other practice location 1

2144 Cittadin Dr
Fullerton, CA 92833-5757
Phone (310) 893-4709

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
AC17200CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Acupia Acupuncturist Past Accepting new patients
Acupia Wellness Inc Acupuncturist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551571200000",
    "number": "1275091837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 CITTADIN DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928335757",
            "telephone_number": "310-893-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 BEACH BLVD # 102",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212094",
            "telephone_number": "714-522-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2144 Cittadin Dr",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928335757",
            "country_code": "US",
            "telephone_number": "310-893-4709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HA",
        "first_name": "JEONG YOON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-03",
        "last_updated": "2019-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC17200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2019; 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.