Chonghoon Pak

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC19121 Issued in CA

Practice address

1610 Blossom Hill Rd Ste 1
San Jose, CA 95124-6349

Phone

(408) 966-5871

NPI assigned

Nov 8, 2021

Last updated

Dec 1, 2022By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Springlight St.Mary's Acupuncture and Herbs, Inc.

  • Health Service Clinic/Center
  • San Jose, CA
  • NPI 1376219808
  NPD Authorized official

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1316602923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 FLOWER GARDEN LN",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951246413",
            "telephone_number": "408-966-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 BLOSSOM HILL RD STE 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951246349",
            "telephone_number": "408-966-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAK",
        "first_name": "CHONGHOON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-08",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC19121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsy Golden Paine
• Maricruz Pajarito
• Bridget Pak
• Cathrine Jeesun Pak
• Chong Pak, D.D.S.
• Erica Pak
• Johnathan P. Pak, M.D.
• Pakravan, Manavi Adn Cohen Dental- San Joe PC (Life Connection Health Center)
• Benjamin Guerrero Palacio III
• Palacios Therapeutic Services

• Acupuncturist in San Jose, CA
• Providers in San Jose, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.