Organization Active NPI

Alpha Acupuncture & Herb Clinic

  • Acupuncturist
  • San Rafael, CA
National Provider Identifier
1548945736
Registry record updated Aug 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
ALPHA ACUPUNCTURE & HERB CLINIC
Practice address
4340 Redwood Hwy Ste a-26
San Rafael, CA 94903
Phone
(415) 910-9351
NPI assigned
Jun 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2023

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

Authorized official

Name
Sunghwan Kim, LACNPI 1669042289
Title
Self-Employment
Phone
(415) 910-9351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4340 Redwood Hwy Ste a-26
San Rafael, CA 94903

Mailing address

4340 Redwood Hwy Ste a-26
San Rafael, CA 94903
Phone (415) 910-9351

National Provider Directory

National Provider Directory

Locations

4340 Redwood Hwy
Ste A26
San Rafael, CA 94903
Phone (415) 910-9351

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692403200000",
    "number": "1548945736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 REDWOOD HWY STE A-26",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94903",
            "telephone_number": "415-910-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 REDWOOD HWY STE A-26",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94903",
            "telephone_number": "415-910-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA ACUPUNCTURE & HERB CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-08-19",
        "certification_date": "2023-08-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUNGHWAN",
        "authorized_official_title_or_position": "SELF-EMPLOYMENT",
        "authorized_official_telephone_number": "415-910-9351",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2023; 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.