Active NPI
Bumjin Kim, L.AC
- Acupuncturist
- Simi Valley, CA
National Provider Identifier
1831246420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC8736
- Practice address
- 2045 Royal Ave Ste 101
Simi Valley, CA 93065-4666 - Phone
- (805) 527-2754
- Fax
- (805) 527-8889
- NPI assigned
- Jan 4, 2007
- 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 | AC8736 | CA | Primary |
Addresses
Primary practice location
2045 Royal Ave Ste 101
Simi Valley, CA 93065-4666
Mailing address
432 S Harvard Blvd Apt 217
Los Angeles, CA 90020-3420
Phone (213) 380-9573
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 |
|---|---|---|---|
| AC8736 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acumen Health Clinics | Acupuncturist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Acupuncturist
- Simi Valley, CA
- NPI 1790997245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831246420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 S HARVARD BLVD APT 217",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900203420",
"telephone_number": "213-380-9573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 ROYAL AVE STE 101",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930654666",
"telephone_number": "805-527-2754",
"fax_number": "805-527-8889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "BUMJIN",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC8736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.