Individual provider Active NPI

Jaegyung Oh

  • Acupuncturist
  • Sherman Oaks, CA
National Provider Identifier
1316570955
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
18800 Issued in CA
Practice address
14838 Magnolia Blvd
Sherman Oaks, CA 91403-1328
Phone
(818) 385-0916
NPI assigned
Feb 21, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 18800 CA Primary

Addresses

Primary practice location

14838 Magnolia Blvd
Sherman Oaks, CA 91403-1328

Mailing address

14838 Magnolia Blvd
Sherman Oaks, CA 91403-1328
Phone (818) 385-0916

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
18800CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Kang Acupuncture Clinic Inc PastSince Oct 12, 2025 Accepting new patients

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": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1316570955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14838 MAGNOLIA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031328",
            "telephone_number": "818-385-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14838 MAGNOLIA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031328",
            "telephone_number": "818-385-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "JAEGYUNG",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-21",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "18800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.