Active NPI
In Sun Kim, L.AC.
- Acupuncturist
- Santa Clara, CA
National Provider Identifier
1689717274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC9984
- Practice address
- 2656 El Camino Real
Santa Clara, CA 95051-3041 - Phone
- (408) 417-6878
- Fax
- (408) 260-1885
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- 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 | AC9984 | CA | Primary |
Addresses
Primary practice location
2656 El Camino Real
Santa Clara, CA 95051-3041
Mailing address
43765 Abeloe Ter
Fremont, CA 94539-6229
Phone (510) 938-1376
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 |
|---|---|---|---|
| AC9984 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689717274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43765 ABELOE TER",
"city": "FREMONT",
"state": "CA",
"postal_code": "945396229",
"telephone_number": "510-938-1376",
"fax_number": "408-260-1885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2656 EL CAMINO REAL",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950513041",
"telephone_number": "408-417-6878",
"fax_number": "408-260-1885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "IN SUN",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC9984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.