Individual provider Active NPI

Scott Seok-Hwan Bahng, L.AC., DIPL.AC.

  • Acupuncturist
  • Corona, CA
National Provider Identifier
1447428131
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC6007 Issued in CA
Practice address
1525 E Ontario Ave
Corona, CA 92881-3793
Phone
(951) 279-8900
NPI assigned
Feb 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC6007 CA Primary

Addresses

Primary practice location

1525 E Ontario Ave
Corona, CA 92881-3793

Mailing address

1279 S Goldstone Cir
Anaheim, CA 92804-4669

Other practice location 1

18837 Brookhurst St Ste 105
Fountain Valley, CA 92708-7301
Phone (213) 435-6838

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
AC6007CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Dami, Inc Acupuncturist PastSince Dec 16, 2020 Accepting new patients
Ramasar Chiropractic Corp PastSince Jul 7, 2010 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1447428131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1279 S GOLDSTONE CIR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928044669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E ONTARIO AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813793",
            "telephone_number": "951-279-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18837 Brookhurst St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927087301",
            "country_code": "US",
            "telephone_number": "213-435-6838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAHNG",
        "first_name": "SCOTT",
        "middle_name": "SEOK-HWAN",
        "name_prefix": "Mr.",
        "credential": "L.AC., DIPL.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-14",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.