Active NPI
Sam Kim, L.AC, DAOM
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1497492284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 18227
- Practice address
- 2825 W 8TH St Apt E103
Los Angeles, CA 90005-1291 - Phone
- (909) 965-0177
- NPI assigned
- May 13, 2022
- 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 | 18227 | CA | Primary |
Addresses
Primary practice location
2825 W 8TH St Apt E103
Los Angeles, CA 90005-1291
Mailing address
2825 W 8TH St Apt E103
Los Angeles, CA 90005-1291
Phone (909) 965-0177
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Totalcare One | Acupuncturist | Past | Accepting new patients |
| Totalcare One Chiropractic | Past | 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.
-
dba Totalcare ONE Health Center
- Chiropractor
- Monterey Park, CA
- NPI 1144982448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652400000000",
"number": "1497492284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 W 8TH ST APT E103",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900051291",
"telephone_number": "909-965-0177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 W 8TH ST APT E103",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900051291",
"telephone_number": "909-965-0177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SAM",
"credential": "L.AC, DAOM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-13",
"last_updated": "2022-05-13",
"certification_date": "2022-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "18227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.