Individual provider Active NPI

Sang Yoon, LAC OMD

  • Acupuncturist
  • Van Nuys, CA
National Provider Identifier
1780803130
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC9103 Issued in CA
Practice address
15243 Vanowen St Ste 400
Van Nuys, CA 91405-3654
Phone
(213) 675-7662
Fax
(818) 994-7687
NPI assigned
Apr 24, 2007
Last updated
May 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC9103 CA Primary

Addresses

Primary practice location

15243 Vanowen St Ste 400
Van Nuys, CA 91405-3654

Mailing address

15243 Vanowen St Ste 400
Van Nuys, CA 91405-3654
Phone (213) 675-7662

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
AC9103CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Family Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: phillip.yoon.p1@direct.omnifamilyhealth.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1780803130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15243 VANOWEN ST STE 400",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053654",
            "telephone_number": "213-675-7662",
            "fax_number": "818-994-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15243 VANOWEN ST STE 400",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053654",
            "telephone_number": "213-675-7662",
            "fax_number": "818-994-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "SANG",
        "name_prefix": "Dr.",
        "credential": "LAC OMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.

Verify at the official NPI Registry.