Individual provider Active NPI

Jin Hyang Ryu, ACUPUNCTURIST

  • Acupuncturist
  • Placentia, CA
National Provider Identifier
1548601651
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 15496 Issued in CA
Practice address
151 N Kraemer Blvd Ste 115
Placentia, CA 92870
Phone
(562) 269-6122
Fax
(562) 320-5812
NPI assigned
Jul 17, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 15496 CA Primary

Addresses

Primary practice location

151 N Kraemer Blvd Ste 115
Placentia, CA 92870

Mailing address

151 N Kraemer Blvd Ste 115
Placentia, CA 92870-5050
Phone (562) 269-6122

Other practice location 1

3975 Jackson St
#209
Riverside, CA 92503-3901
Phone (951) 239-4954

Other practice location 2

14298 St Andrews Dr Ste 11
Victorville, CA 92395-4367
Phone (760) 243-2311

Other practice location 3

3975 Jackson St
#209
Riverside, CA 92503-3901
Phone (951) 239-4954

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
AC 15496CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
High Desert Medical Office Past Accepting new patients

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": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1548601651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N KRAEMER BLVD STE 115",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928705050",
            "telephone_number": "562-269-6122",
            "fax_number": "562-320-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N KRAEMER BLVD STE 115",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "92870",
            "telephone_number": "562-269-6122",
            "fax_number": "562-320-5812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3975 Jackson St",
            "address_2": "#209",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925033901",
            "country_code": "US",
            "telephone_number": "951-239-4954",
            "fax_number": "951-239-4295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14298 St Andrews Dr Ste 11",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923954367",
            "country_code": "US",
            "telephone_number": "760-243-2311",
            "fax_number": "760-243-2880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3975 Jackson St",
            "address_2": "#209",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925033901",
            "country_code": "US",
            "telephone_number": "951-239-4954",
            "fax_number": "951-239-4295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYU",
        "first_name": "JIN HYANG",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-17",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 15496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.