Individual provider Active NPI

Chung Yol Pyo, LAC

  • Acupuncturist
  • Hesperia, CA
National Provider Identifier
1689700478
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
7406 Issued in CA
Practice address
16785 Bear Valley Road
Suite 4
Hesperia, CA 92345-1423
Phone
(760) 870-4181
Fax
(760) 646-8037
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC7406 CA
Acupuncturist 171100000X 7406 CA Primary

Addresses

Primary practice location

16785 Bear Valley Road
Suite 4
Hesperia, CA 92345-1423

Mailing address

16785 Bear Valley Road
Suite 4
Hesperia, CA 92345-1423
Phone (760) 870-4181

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

LicenseStateTypeSpecialty
AC7406CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Choice Acupuncture Past Accepting new patients
Trinity Acupuncture & Integrated Medcare, Inc Acupuncturist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1689700478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16785 BEAR VALLEY ROAD",
            "address_2": "SUITE 4",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923451423",
            "telephone_number": "760-870-4181",
            "fax_number": "760-646-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16785 BEAR VALLEY ROAD",
            "address_2": "SUITE 4",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923451423",
            "telephone_number": "760-870-4181",
            "fax_number": "760-646-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYO",
        "first_name": "CHUNG",
        "middle_name": "YOL",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC7406",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "7406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.