Organization Active NPI

Jae Hyun Park

  • Acupuncturist
  • Bakersfield, CA
National Provider Identifier
1871383299
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
JAE HYUN PARK
Practice address
4949 Buckley Way Ste 104
Bakersfield, CA 93309-4880
Phone
(661) 405-4009
NPI assigned
May 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Jae Hyun ParkNPI 1861649881
Title
Owner
Phone
(661) 405-4009

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

4949 Buckley Way Ste 104
Bakersfield, CA 93309-4880

Mailing address

4949 Buckley Way Ste 104
Bakersfield, CA 93309-4880
Phone (661) 405-4009

Other practice location 1

17547 Chatsworth St Ste 1/2
Granada Hills, CA 91344-5720
Phone (818) 305-4030

Other names 1

  • Neuro Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

4949 Buckley Way
Ste 104
Bakersfield, CA 93309
Phone (661) 301-8898

17547 Chatsworth St
Ste 12
Granada Hills, CA 91344
Phone (213) 407-2642

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1871383299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 BUCKLEY WAY STE 104",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094880",
            "telephone_number": "661-405-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 BUCKLEY WAY STE 104",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094880",
            "telephone_number": "661-405-4009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17547 Chatsworth St Ste 1/2",
            "address_purpose": "LOCATION",
            "city": "Granada Hills",
            "state": "CA",
            "postal_code": "913445720",
            "country_code": "US",
            "telephone_number": "818-305-4030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAE HYUN PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "HYUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-405-4009"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuro Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.