NPIMap

Organization Active NPI

Nuvida KMC

  • Acupuncturist
  • Fullerton, CA
National Provider Identifier
1851540009
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC12314
Legal business name
NUVIDA KMC
Practice address
1400 N. Harbor Blvd.
Suite # 120
Fullerton, CA 92835
Phone
(714) 773-7000
Fax
(714) 870-5028
NPI assigned
Sep 11, 2008
Last updated
May 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Lauren Kim, L.ACNPI 1578734307
Title
President
Phone
(714) 773-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC12314 Primary

Addresses

Primary practice location

1400 N. Harbor Blvd.
Suite # 120
Fullerton, CA 92835

Mailing address

1400 N. Harbor Blvd.
Suite # 120
Fullerton, CA 92835
Phone (714) 773-7000

National Provider Directory

National Provider Directory

Locations

2767 E Imperial Hwy
Fl 2
Brea, CA 92821

1400 N Harbor Blvd
Ste 120
Fullerton, CA 92835
Phone (714) 773-7000

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1851540009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N. HARBOR BLVD.",
            "address_2": "SUITE # 120",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92835",
            "telephone_number": "714-773-7000",
            "fax_number": "714-870-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N. HARBOR BLVD.",
            "address_2": "SUITE # 120",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92835",
            "telephone_number": "714-773-7000",
            "fax_number": "714-870-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUVIDA KMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-773-7000",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": "AC12314",
            "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 May 26, 2022; 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.