Wan Kim, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC13915 Issued in CA

Practice address

100 Saratoga Ave Ste 110
Santa Clara, CA 95051-7337

Phone

(408) 645-8232

Fax

(408) 217-2410

NPI assigned

Jun 12, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Yurim Acupuncture Inc

  • Acupuncturist
  • Santa Clara, CA
  • NPI 1134876170
  NPD Authorized official
• Jaseng Acupuncture Clinic

  • Clinic/Center
  • Santa Clara, CA
  • NPI 1598027948
  NPD (past)

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1306284328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SARATOGA AVE STE 110",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950517337",
            "telephone_number": "408-645-8232",
            "fax_number": "408-217-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SARATOGA AVE STE 110",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950517337",
            "telephone_number": "408-645-8232",
            "fax_number": "408-217-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "WAN",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Yun Kim
• Song Lee Kim
• Soomin Kim
• Sun Hye Kim, FNP
• Timothy Bansuk Kim, DO, MPH, MS
• Wookjin Kim
• Young Kyu Kim, AC
• Younghye Yoon Kim
• Deborah Kimball, MD
• Eileen Kimm

• Acupuncturist in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.