Organization Active NPI

Thanksgiving Acuhealing Center Inc.

  • Acupuncturist
  • Fullerton, CA
National Provider Identifier
1366029399
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
THANKSGIVING ACUHEALING CENTER INC.
Practice address
2701 E Chapman Ave Ste 109
Fullerton, CA 92831-3750
Phone
(213) 503-6208
Fax
(714) 515-3049
NPI assigned
Mar 25, 2021
Last updated
Mar 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Bakyoung SohNPI 1972006195
Title
Acupuncturist
Phone
(213) 503-6208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

2701 E Chapman Ave Ste 109
Fullerton, CA 92831-3750

Mailing address

2701 E Chapman Ave Ste 109
Fullerton, CA 92831-3750
Phone (213) 503-6208

Other identifiers 1

IdentifierTypeStateIssuer
AC16556OtherCACALIFORNIA ACUPUCNCTURE BOARD

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL FULLERTON Other

National Provider Directory

National Provider Directory

Locations

2701 E Chapman Ave
Ste 109
Fullerton, CA 92831
Phone (213) 503-6208

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1366029399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 E CHAPMAN AVE STE 109",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313750",
            "telephone_number": "213-503-6208",
            "fax_number": "714-515-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 E CHAPMAN AVE STE 109",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313750",
            "telephone_number": "213-503-6208",
            "fax_number": "714-515-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THANKSGIVING ACUHEALING CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "SOH",
        "authorized_official_first_name": "BAKYOUNG",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "213-503-6208"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA ACUPUCNCTURE BOARD",
            "identifier": "AC16556",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "FULLERTON",
            "affiliation": "N",
            "endpointDescription": "ACUPUNCTURE",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FULLERTON",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ACUPUNCTURE CLINIC",
            "address_1": "2701 E Chapman Ave Ste 109",
            "city": "Fullerton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928313750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.