Active NPI
Joo Kim, ACUPUNCTURIST
- Acupuncturist
- Northridge, CA
National Provider Identifier
1316623267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC10613
- Practice address
- 18111 Nordhoff Street
Northridge, CA 91311 - Phone
- (818) 677-6659
- NPI assigned
- Jun 26, 2023
- Sex
- Female
- 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 | AC10613 | CA | Primary |
Addresses
Primary practice location
18111 Nordhoff Street
Northridge, CA 91311
Mailing address
21049 Devonshire Street
Chatsworth, CA 91311
Phone (818) 527-1605
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC10613 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1316623267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21049 DEVONSHIRE STREET",
"city": "CHATSWORTH",
"state": "CA",
"postal_code": "91311",
"telephone_number": "818-527-1605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18111 NORDHOFF STREET",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "91311",
"telephone_number": "818-677-6659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JOO",
"name_prefix": "Dr.",
"credential": "ACUPUNCTURIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-26",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC10613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.