Active NPI
Kei-Hang Pak, L.AC
- Acupuncturist
- Berkeley, CA
National Provider Identifier
1396881116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC7158
- Practice address
- 3000 Colby St
Ste 203a
Berkeley, CA 94705-2058 - Phone
- (510) 845-8477
- Fax
- (866) 929-7361
- NPI assigned
- Jan 29, 2007
- Last updated
- Jun 2, 2017
- Sex
- Male
- 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 | AC7158 | CA | Primary |
Addresses
Primary practice location
3000 Colby St
Ste 203a
Berkeley, CA 94705-2058
Mailing address
3000 Colby St
Ste 203a
Berkeley, CA 94705-2058
Phone (510) 845-8477
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 |
|---|---|---|---|
| AC7158 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pak's Natural Healing Center, Inc. | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Acupuncturist
- Berkeley, CA
- NPI 1972823680
-
- Acupuncturist
- Berkeley, CA
- NPI 1205317013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496361600000",
"number": "1396881116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 COLBY ST",
"address_2": "STE 203A",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052058",
"telephone_number": "510-845-8477",
"fax_number": "866-929-7361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 COLBY ST",
"address_2": "STE 203A",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052058",
"telephone_number": "510-845-8477",
"fax_number": "866-929-7361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAK",
"first_name": "KEI-HANG",
"name_prefix": "Mr.",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2017-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC7158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.