Active NPI
Byoung Wook Min, L.AC.
- Acupuncturist
- San Leandro, CA
National Provider Identifier
1720447782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC16564
- Practice address
- 13851 E 14TH St
Suite 203
San Leandro, CA 94578-2631 - Phone
- (510) 895-8912
- Fax
- (510) 895-8930
- NPI assigned
- Feb 18, 2016
- 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 | AC16564 | CA | Primary |
Addresses
Primary practice location
13851 E 14TH St
Suite 203
San Leandro, CA 94578-2631
Mailing address
13851 E 14TH St
Suite 203
San Leandro, CA 94578-2631
Phone (510) 895-8912
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 |
|---|---|---|---|
| AC16564 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Id Acupuncture Inc. | Acupuncturist | Current | Accepting new patients |
| Id Acupuncture | Past | Accepting new patients |
Locations
13851 E 14th St
Ste 203
San Leandro, CA 94578
Phone (510) 836-0376
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.
-
- Acupuncturist
- San Leandro, CA
- NPI 1841951340
-
- Medical Art Specialist/Technologist
- San Leandro, CA
- NPI 1801304621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483488000000",
"number": "1720447782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13851 E 14TH ST",
"address_2": "SUITE 203",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945782631",
"telephone_number": "510-895-8912",
"fax_number": "510-895-8930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13851 E 14TH ST",
"address_2": "SUITE 203",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945782631",
"telephone_number": "510-895-8912",
"fax_number": "510-895-8930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIN",
"first_name": "BYOUNG WOOK",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-18",
"last_updated": "2017-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC16564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.