Individual provider Active NPI

Yong Jun, DOM

  • Acupuncturist
  • Citrus Heights, CA
National Provider Identifier
1790133635
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC17118 Issued in CA
Practice address
6939 Sunrise Blvd Ste 226
Citrus Heights, CA 95610-3153
Phone
(916) 677-9818
Fax
(916) 251-7314
NPI assigned
Jun 1, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC17118 CA Primary

Addresses

Primary practice location

6939 Sunrise Blvd Ste 226
Citrus Heights, CA 95610-3153

Mailing address

6939 Sunrise Blvd Ste 226
Citrus Heights, CA 95610-3153
Phone (916) 677-9818

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
AC17118CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. James Acupuncture, Inc Acupuncturist CurrentSince Jan 8, 2023 Accepting new patients
Russell and Ross Chiropractic Centre PastSince Jan 23, 2013 Accepting new patients
Roseville Birthing Center Past Accepting new patients

Locations

6939 Sunrise Blvd
Ste 100
Citrus Heights, CA 95610
Phone (415) 385-4059

Organizations & group practices 3

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": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1790133635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6939 SUNRISE BLVD STE 226",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956103153",
            "telephone_number": "916-677-9818",
            "fax_number": "916-251-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6939 SUNRISE BLVD STE 226",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956103153",
            "telephone_number": "916-677-9818",
            "fax_number": "916-251-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUN",
        "first_name": "YONG",
        "name_prefix": "Dr.",
        "credential": "DOM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC17118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.