Active NPI
Suk Young Shin
- Acupuncturist
- Riverside, CA
National Provider Identifier
1699952028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC11280
- Practice address
- 1485 Spruce St Ste P
Riverside, CA 92507-7421 - Phone
- (951) 682-8167
- NPI assigned
- Jan 28, 2008
- Last updated
- Jan 28, 2008
- 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 | AC11280 | CA | Primary |
Addresses
Primary practice location
1485 Spruce St Ste P
Riverside, CA 92507-7421
Mailing address
19923 Meadows CT
Cerritos, CA 90703-7854
Phone (714) 225-8198
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 |
|---|---|---|---|
| AC11280 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpointe Medical Group, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Long Beach, CA
- NPI 1851678437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201478400000",
"number": "1699952028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19923 MEADOWS CT",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907037854",
"telephone_number": "714-225-8198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 SPRUCE ST STE P",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925077421",
"telephone_number": "951-682-8167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIN",
"first_name": "SUK YOUNG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-28",
"last_updated": "2008-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC11280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.