Individual provider Active NPI

Angela S. Suk, L.AC.

  • Acupuncturist
  • Fullerton, CA
National Provider Identifier
1801208301
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC15997 Issued in CA
Practice address
1819 N Euclid St
Fullerton, CA 92835-3343
Phone
(714) 296-8373
Fax
(714) 680-9122
NPI assigned
Jun 2, 2014
Last updated
Feb 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC15997 CA Primary

Addresses

Primary practice location

1819 N Euclid St
Fullerton, CA 92835-3343

Mailing address

1819 N Euclid St
Fullerton, CA 92835-3343
Phone (714) 296-8373

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
AC15997CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1801208301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 N EUCLID ST",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353343",
            "telephone_number": "714-296-8373",
            "fax_number": "714-680-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 N EUCLID ST",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353343",
            "telephone_number": "714-296-8373",
            "fax_number": "714-680-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUK",
        "first_name": "ANGELA",
        "middle_name": "S.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.