Individual provider Active NPI

Nyeonjae Yim, L.AC

  • Acupuncturist
  • Fullerton, CA
National Provider Identifier
1386162576
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC16298 Issued in CA
Practice address
101 N Basque Ave Ste a
Fullerton, CA 92833-2753
Phone
(714) 788-8910
Fax
(657) 387-0555
NPI assigned
Sep 7, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC16298 CA Primary

Addresses

Primary practice location

101 N Basque Ave Ste a
Fullerton, CA 92833-2753

Mailing address

101 N Basque Ave Ste a
Fullerton, CA 92833-2753
Phone (714) 788-8910

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
AC16298CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Tao Nature Medicine Inc Acupuncturist PastSince Jun 8, 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": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1386162576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N BASQUE AVE STE A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332753",
            "telephone_number": "714-788-8910",
            "fax_number": "657-387-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N BASQUE AVE STE A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332753",
            "telephone_number": "714-788-8910",
            "fax_number": "657-387-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIM",
        "first_name": "NYEONJAE",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-07",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC16298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 24, 2026; 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.