NPIMap

Organization Active NPI

JM Acupuncture Inc

  • Acupuncturist
  • Tustin, CA
National Provider Identifier
1437384997
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC12673 Issued in CA
Legal business name
JM ACUPUNCTURE INC
Practice address
17842 Irvine Blvd
144
Tustin, CA 92780-3203
Phone
(714) 505-8319
NPI assigned
May 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2009

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

Authorized official

Name
Hyo Park, AC
Title
Owner
Phone
(714) 505-8319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC12673 CA Primary

Addresses

Primary practice location

17842 Irvine Blvd
144
Tustin, CA 92780-3203

Mailing address

17842 Irvine Blvd
144
Tustin, CA 92780-3203
Phone (714) 505-8319

Other identifiers 1

IdentifierTypeStateIssuer
AC12673OtherCALICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1437384997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17842 IRVINE BLVD",
            "address_2": "144",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803203",
            "telephone_number": "714-505-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17842 IRVINE BLVD",
            "address_2": "144",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803203",
            "telephone_number": "714-505-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JM ACUPUNCTURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "HYO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-505-8319",
        "authorized_official_credential": "AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AC12673",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.