Individual provider Active NPI

Jooseok Oh, L.AC.

  • Acupuncturist
  • Riverside, CA
National Provider Identifier
1467606640
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC10240 Issued in CA
Practice address
6717 Indiana Ave
Riverside, CA 92506-4263
Phone
(951) 680-0204
NPI assigned
Nov 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC10240 CA Primary

Addresses

Primary practice location

6717 Indiana Ave
Riverside, CA 92506-4263

Mailing address

6717 Indiana Ave
Riverside, CA 92506-4263
Phone (951) 680-0204

Other identifiers 1

IdentifierTypeStateIssuer
AC10240OtherCAACPUNCTURIST

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
AC10240CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Acu East Medi Inc Acupuncturist CurrentSince Oct 17, 2021 Accepting new patients
Riverside Acupuncture Acupuncturist Past Accepting new patients

Locations

6717 Indiana Ave
Riverside, CA 92506
Phone (951) 680-0204

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": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1467606640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 INDIANA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064263",
            "telephone_number": "951-680-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6717 INDIANA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064263",
            "telephone_number": "951-680-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "JOOSEOK",
        "name_prefix": "Dr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACPUNCTURIST",
            "identifier": "AC10240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.