Active NPI
Jang Hyuck Kim, LAC
- Acupuncturist
- Rancho Cucamonga, CA
National Provider Identifier
1285876052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 12937
- Practice address
- 12551 Elevage Dr Unit 67
Rancho Cucamonga, CA 91739-1895 - Phone
- (818) 288-5758
- NPI assigned
- Mar 25, 2009
- 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 | 12937 | CA | Primary |
Addresses
Primary practice location
12551 Elevage Dr Unit 67
Rancho Cucamonga, CA 91739-1895
Mailing address
12551 Elevage Dr Unit 67
Rancho Cucamonga, CA 91739-1895
Phone (818) 288-5758
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": "1237939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766966400000",
"number": "1285876052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12551 ELEVAGE DR UNIT 67",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917391895",
"telephone_number": "818-288-5758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12551 ELEVAGE DR UNIT 67",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917391895",
"telephone_number": "818-288-5758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JANG",
"middle_name": "HYUCK",
"name_prefix": "Mr.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-25",
"last_updated": "2025-12-29",
"certification_date": "2025-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "12937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.