Pukai Jin, LA.C

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0121001030 Issued in VA

Practice address

3007 Williams Dr
Fairfax, VA 22031-4612

Phone

(571) 207-6789

Fax

(571) 234-8128

NPI assigned

Nov 11, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Procare Wellness McLean

  • Acupuncturist
  • MC Lean, VA
  • NPI 1578355251
  NPD Authorized official
• Procare Acupuncture and Wellness Germantown

  • Acupuncturist
  • Germantown, MD
  • NPI 1801737564
  NPD Authorized official
• Procare Acupuncture and Wellness

  • Clinic/Center
  • Fairfax, VA
  • NPI 1770374290

  Acupuncturist

  NPD (past) Authorized official

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1477219616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7349 RHONDDA DR",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791570",
            "telephone_number": "703-200-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 WILLIAMS DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314612",
            "telephone_number": "571-207-6789",
            "fax_number": "571-234-8128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6888 Elm St Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221013829",
            "country_code": "US",
            "telephone_number": "571-207-6789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19719 Executive Park Cir",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208742639",
            "country_code": "US",
            "telephone_number": "571-207-6789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIN",
        "first_name": "PUKAI",
        "name_prefix": "Mr.",
        "credential": "LA.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-11",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121001030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Jiao, MD
• Jilly Healthcare Services, LLC
• Camila Andrea Jimenez Ardila
• Ashley Stephanie Jimenez
• Olga Lidia Jimenez, SLP
• Allison Marie Jiongo, FNP
• Jirah Corporation
• Jiva Wellness
• Jna Home Health Solutions LLC
• Jna Medical Transport, LLC

• Acupuncturist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Acupuncturist in Virginia

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

Verify at the official NPI Registry.