Active NPI
Jamie Jakyun Kim, LAC
- Acupuncturist
- Orange, CA
National Provider Identifier
1689147787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC18310
- Practice address
- 2050 W Chapman Ave Ste 102
Orange, CA 92868-2648 - Phone
- (714) 512-1978
- Fax
- (714) 948-8243
- NPI assigned
- Jan 10, 2019
- Last updated
- May 9, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | AC18310 | CA | Primary |
Addresses
Primary practice location
2050 W Chapman Ave Ste 102
Orange, CA 92868-2648
Mailing address
1942 Avenida del Ossa
Fullerton, CA 92833-1856
Phone (714) 422-8461
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC18310 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainbow America Inc | Acupuncturist | Past | Accepting new patients |
| New Medical | Acupuncturist | Past | Accepting new patients |
| Jingachim Orangewell Acupuncture Clinic P.C. | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
- Acupuncturist
- Orange, CA
- NPI 1467912196
-
dba Orange Well Oriental Medicine Clinic
- Acupuncturist
- Downey, CA
- NPI 1295907483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1689147787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1942 AVENIDA DEL OSSA",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928331856",
"telephone_number": "714-422-8461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 W CHAPMAN AVE STE 102",
"city": "ORANGE",
"state": "CA",
"postal_code": "928682648",
"telephone_number": "714-512-1978",
"fax_number": "714-948-8243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JAMIE",
"middle_name": "JAKYUN",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-10",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC18310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.