Active NPI
Shao Hui Jin, LAC
- Acupuncturist
- Laguna Beach, CA
National Provider Identifier
1679771406
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective May 20, 2009.
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC8141
- Practice address
- 1400 S Coast Hwy
Suit 200
Laguna Beach, CA 92651 - Phone
- (949) 376-6869
- Fax
- (949) 376-6869
- NPI assigned
- Jul 3, 2007
- Sex
- Male
- Sole proprietor
- No
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 | AC8141 | CA | Primary |
Addresses
Primary practice location
1400 S Coast Hwy
Suit 200
Laguna Beach, CA 92651
Mailing address
5730 N Willard Ave
Apt 3H
San Gabriel, CA 91775
Phone (949) 376-6869
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC8141 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679771406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5730 N WILLARD AVE",
"address_2": "APT 3H",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "91775",
"telephone_number": "949-376-6869",
"fax_number": "949-376-6869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S COAST HWY",
"address_2": "SUIT 200",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "92651",
"telephone_number": "949-376-6869",
"fax_number": "949-376-6869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIN",
"first_name": "SHAO",
"middle_name": "HUI",
"name_prefix": "Mr.",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC8141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.