Organization Active NPI

Kjacu Corp

  • Acupuncturist
  • Nevada City, CA
National Provider Identifier
1619230729
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
14234 Issued in CA
Legal business name
KJACU CORP
Practice address
412 Commercial St
Nevada City, CA 95959-2412
Phone
(530) 421-8353
NPI assigned
Jun 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Authorized official

Name
Kalub Jarosh
Title
Director
Phone
(530) 421-8353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 14234 CA Primary

Addresses

Primary practice location

412 Commercial St
Nevada City, CA 95959-2412

Mailing address

140 Celesta Dr
Grass Valley, CA 95945-5651

National Provider Directory

National Provider Directory

Locations

412 Commercial St
Nevada City, CA 95959
Phone (530) 421-8353

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1619230729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 CELESTA DR",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 COMMERCIAL ST",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592412",
            "telephone_number": "530-421-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJACU CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "JAROSH",
        "authorized_official_first_name": "KALUB",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "530-421-8353"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "14234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.