Individual provider Active NPI

Tae Kang

  • Acupuncturist
  • Bakersfield, CA
National Provider Identifier
1508163486
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC11372 Issued in CA
Practice address
1929 Truxtun Ave
Suite B
Bakersfield, CA 93301-5021
Phone
(661) 327-2740
Fax
(661) 327-7781
NPI assigned
Feb 11, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC11372 CA Primary

Addresses

Primary practice location

1929 Truxtun Ave
Suite B
Bakersfield, CA 93301-5021

Mailing address

2836 Ash Glen Ave
Lancaster, CA 93536-5800

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
AC11372CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1508163486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2836 ASH GLEN AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935365800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 TRUXTUN AVE",
            "address_2": "SUITE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015021",
            "telephone_number": "661-327-2740",
            "fax_number": "661-327-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "TAE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.