Jae Seob Kim, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC10811 Issued in CA

Practice address

125 E Barstow Ave Ste 110
Fresno, CA 93710-5023

Phone

(559) 444-3300

Fax

(559) 606-1500

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• JS Healthcare Management Inc

  • Acupuncturist
  • Fresno, CA
  • NPI 1568336006
  NPD Authorized official
• Workmed California a Professional Corp

  • General Practice Physician
  • Fresno, CA
  • NPI 1487029278
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1629130281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E BARSTOW AVE STE 110",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105023",
            "telephone_number": "559-444-3300",
            "fax_number": "559-606-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E BARSTOW AVE STE 110",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105023",
            "telephone_number": "559-444-3300",
            "fax_number": "559-606-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JAE",
        "middle_name": "SEOB",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSED ACUPUNCTURIST",
            "identifier": "AC10811",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elle Eunyounglee Kim, RPH
• Esther Hi Kim, PHARMD
• Heeyoon Kim
• Hong Ju Kim, DO
• Isaac Ying-Jie Kim
• Jeena Kim
• Jieun Kim
• Jo I Kim, L.AC., PH.D.
• John Kim, M.D.
• Jongwook Kim

• Acupuncturist in Fresno, CA
• Providers in Fresno, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.