Individual provider Active NPI

Saeong Bin Park, CA

  • Acupuncturist
  • Solvang, CA
National Provider Identifier
1447284716
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
L.AC 7811 Issued in CA
Practice address
650 Alamo Pintado Rd Ste 104
Solvang, CA 93463-2266
Phone
(805) 686-0805
Fax
(805) 686-0805
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X L.AC 7811 CA Primary

Addresses

Primary practice location

650 Alamo Pintado Rd Ste 104
Solvang, CA 93463-2266

Mailing address

650 Alamo Pintado Rd Ste 104
Solvang, CA 93463-2266
Phone (805) 686-0805

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
L.AC 7811CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Park's Acupuncture Clinic & Herbs Acupuncturist Past 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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1447284716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 ALAMO PINTADO RD STE 104",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "934632266",
            "telephone_number": "805-686-0805",
            "fax_number": "805-686-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 ALAMO PINTADO RD STE 104",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "934632266",
            "telephone_number": "805-686-0805",
            "fax_number": "805-686-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SAEONG BIN",
        "credential": "CA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "L.AC 7811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solvang, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.