Individual provider Active NPI

Susan Ha, D.C., L.AC.

  • Acupuncturist
  • Newport Beach, CA
National Provider Identifier
1316061062
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
15389 Issued in CA
Practice address
4060 Campus Dr Ste 130
Newport Beach, CA 92660-2205
Phone
(714) 263-5005
NPI assigned
Mar 19, 2007
Last updated
Dec 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 28672 CA
Chiropractor 111N00000X 5594 CO
Acupuncturist 171100000X 15389 CA Primary

Addresses

Primary practice location

4060 Campus Dr Ste 130
Newport Beach, CA 92660-2205

Mailing address

4060 Campus Dr Ste 130
Newport Beach, CA 92660-2205
Phone (714) 263-5005

Other practice location 1

2900 Bristol St
Bldg J-102
Costa Mesa, CA 92626-5981
Phone (949) 392-6490

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5594COMDProfessional Counselor
28672CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Ha Wellness and Chiropractic Corp Chiropractor CurrentSince Dec 24, 2023 Accepting new patients
Arapaho Chiropractic Center, LLC, PC Chiropractor Past Accepting new patients
Caraza-Ha Chiropractic Corporation Chiropractor Past Accepting new patients

Locations

4060 Campus Dr
Ste 130
Newport Beach, CA 92660
Phone (714) 263-5005

Organizations & group practices 3

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1316061062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 CAMPUS DR STE 130",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602205",
            "telephone_number": "714-263-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 CAMPUS DR STE 130",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602205",
            "telephone_number": "714-263-5005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Bristol St",
            "address_2": "Bldg J-102",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926265981",
            "country_code": "US",
            "telephone_number": "949-392-6490",
            "fax_number": "949-392-6491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HA",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "D.C., L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "28672",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5594",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "15389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.