Individual provider Active NPI

Shu-Ming Kuo, D.A.O.M.

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1841406014
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
10638 Issued in CA
Practice address
7445 Mission Valley Rd Ste 104
San Diego, CA 92108-4408
Phone
(760) 884-4728
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 10638 CA Primary

Addresses

Primary practice location

7445 Mission Valley Rd Ste 104
San Diego, CA 92108-4408

Mailing address

7445 Mission Valley Rd Ste 104
San Diego, CA 92108-4408
Phone (760) 884-4728

Other names 1

  • Brian Kuo Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
L S W P Acupuncturist Current Accepting new patients

Locations

11939 Rancho Bernardo Rd
Ste 105
San Diego, CA 92128
Phone (619) 786-7579

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.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1841406014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7445 MISSION VALLEY RD STE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084408",
            "telephone_number": "760-884-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7445 MISSION VALLEY RD STE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084408",
            "telephone_number": "760-884-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUO",
        "first_name": "SHU-MING",
        "credential": "D.A.O.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "10638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIAN",
            "last_name": "KUO",
            "credential": "D.A.O.M.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.