Individual provider Active NPI

Sue Kyung Ryo

  • Acupuncturist
  • Fullerton, CA
National Provider Identifier
1518528280
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC18002 Issued in CA
Practice address
1351 E Chapman Ave Ste F
Fullerton, CA 92831-3955
Phone
(443) 928-9948
NPI assigned
Jun 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC18002 CA Primary

Addresses

Primary practice location

1351 E Chapman Ave Ste F
Fullerton, CA 92831-3955

Mailing address

1351 E Chapman Ave Ste F
Fullerton, CA 92831-3955
Phone (443) 928-9948

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
AC18002CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1518528280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 E CHAPMAN AVE STE F",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313955",
            "telephone_number": "443-928-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 E CHAPMAN AVE STE F",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313955",
            "telephone_number": "443-928-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYO",
        "first_name": "SUE",
        "middle_name": "KYUNG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC18002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.