Individual provider Active NPI

Moon Jung Kim

  • Acupuncturist
  • Irvine, CA
National Provider Identifier
1508148982
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC13550 Issued in CA
Practice address
40 Santa Catalina Aisle
Irvine, CA 92606-0860
Phone
(949) 697-8582
NPI assigned
Sep 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC13550 CA Primary

Addresses

Primary practice location

40 Santa Catalina Aisle
Irvine, CA 92606-0860

Mailing address

4330 Barranca Pkwy
Ste #232
Irvine, CA 92604-4755

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

LicenseStateTypeSpecialty
AC13550CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Firsons Inc Acupuncturist CurrentSince Oct 21, 2020 Accepting new patients

Locations

4330 Barranca Pkwy
Ste 232
Irvine, CA 92604
Phone (949) 504-7049

4330 Barranca Pkwy
Ste 135
Irvine, CA 92604
Phone (949) 331-8484

Organizations & group practices 1

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": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1508148982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 BARRANCA PKWY",
            "address_2": "STE #232",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SANTA CATALINA AISLE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926060860",
            "telephone_number": "949-697-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MOON JUNG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.