Organization Active NPI

Nature Acupuncture & Herb Clinic

  • Acupuncturist
  • Pasadena, CA
National Provider Identifier
1417525320
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
NATURE ACUPUNCTURE & HERB CLINIC
Practice address
117 W Bellevue Dr Ste 1
Pasadena, CA 91105-2548
Phone
(626) 376-2172
NPI assigned
Jun 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Authorized official

Name
Nam Jo Kim Pan, L.ACNPI 1619545522
Title
Owner
Phone
(626) 376-2172

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: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

117 W Bellevue Dr Ste 1
Pasadena, CA 91105-2548

Mailing address

117 W Bellevue Dr Ste 1
Pasadena, CA 91105-2548

National Provider Directory

National Provider Directory

Locations

117 W Bellevue Dr
Ste 1
Pasadena, CA 91105
Phone (626) 376-2172

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1417525320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W BELLEVUE DR STE 1",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W BELLEVUE DR STE 1",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052548",
            "telephone_number": "626-376-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURE ACUPUNCTURE & HERB CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "PAN",
        "authorized_official_first_name": "NAM JO KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-376-2172",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.