Active NPI
Min Jung Kang
- Acupuncturist
- San Jose, CA
National Provider Identifier
1801134036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 14568
- Practice address
- 4155 Moorpark Ave Ste 20
San Jose, CA 95117 - Phone
- (408) 409-0016
- NPI assigned
- Jan 23, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 14568 | CA | Primary |
| Acupuncturist | 171100000X | 1642 | MN |
Addresses
Primary practice location
4155 Moorpark Ave Ste 20
San Jose, CA 95117
Mailing address
1659 S Wolfe Rd
Sunnyvale, CA 94087-4857
Other practice location 1
4570 W 77th St Ste 140
Edina, MN 55435-5004
Phone (952) 500-8733
Other practice location 2
1925 Winchester Blvd Ste 101
Campbell, CA 95008-1000
Phone (612) 402-5315
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 |
|---|---|---|---|
| 14568 | CA | MD | Mental Health Counselor |
| 1642 | MN | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1801134036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1659 S WOLFE RD",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940874857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4155 MOORPARK AVE STE 20",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95117",
"telephone_number": "408-409-0016"
}
],
"practiceLocations": [
{
"address_1": "4570 W 77th St Ste 140",
"address_purpose": "LOCATION",
"city": "Edina",
"state": "MN",
"postal_code": "554355004",
"country_code": "US",
"telephone_number": "952-500-8733",
"fax_number": "763-592-8142",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1925 Winchester Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Campbell",
"state": "CA",
"postal_code": "950081000",
"country_code": "US",
"telephone_number": "612-402-5315",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANG",
"first_name": "MIN",
"middle_name": "JUNG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-23",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "14568",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1642",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.