Active NPI
Changhyun Oh
- Acupuncturist
- Riverside, CA
National Provider Identifier
1467904987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC17123
- Practice address
- 7065 Indiana Ave Ste 100&110
Riverside, CA 92506-4167 - Phone
- (951) 479-0115
- Fax
- (760) 347-0909
- NPI assigned
- Nov 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC17123 | CA | Primary |
Addresses
Primary practice location
7065 Indiana Ave Ste 100&110
Riverside, CA 92506-4167
Mailing address
7065 Indiana Ave Ste 100&110
Riverside, CA 92506-4167
Phone (951) 479-0115
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC17123 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chang H Oh L.Ac Acupuncture Group Inc | Acupuncturist | Current | Accepting new patients |
| Moeller-Bertram Medical Corporation | Past | Accepting new patients | |
| Tobias Moeller-Bertram MD Corporation | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1467904987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7065 INDIANA AVE STE 100&110",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925064167",
"telephone_number": "951-479-0115",
"fax_number": "760-347-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7065 INDIANA AVE STE 100&110",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925064167",
"telephone_number": "951-479-0115",
"fax_number": "760-347-0909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OH",
"first_name": "CHANGHYUN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-01",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC17123",
"primary": true
}
],
"identifiers": [],
"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 Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.