Individual provider Active NPI

Haeni Kim

  • Acupuncturist
  • Santa Fe Springs, CA
National Provider Identifier
1659291979
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
20567 Issued in CA
Practice address
12495 Olive LN
Santa Fe Springs, CA 90670-6904
Phone
(714) 707-0576
NPI assigned
Jul 17, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 20567 CA Primary

Addresses

Primary practice location

12495 Olive LN
Santa Fe Springs, CA 90670-6904

Mailing address

12495 Olive LN
Santa Fe Springs, CA 90670-6904
Phone (714) 707-0576

Other practice location 1

1661 Golden Rain Rd
Seal Beach, CA 90740-4907
Phone (800) 385-1130

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

NPI Registry JSON

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

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1659291979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12495 OLIVE LN",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906706904",
            "telephone_number": "714-707-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12495 OLIVE LN",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906706904",
            "telephone_number": "714-707-0576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1661 Golden Rain Rd",
            "address_purpose": "LOCATION",
            "city": "Seal Beach",
            "state": "CA",
            "postal_code": "907404907",
            "country_code": "US",
            "telephone_number": "800-385-1130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "HAENI",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "20567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.