Active NPI
Jin Hyang Ryu, ACUPUNCTURIST
- Acupuncturist
- Placentia, CA
National Provider Identifier
1548601651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 15496
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| AC 15496 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Internist Chiropractor
- Victorville, CA
- NPI 1295989226
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.