Active NPI
Jinseok Bark, CMT
- Massage Therapist
- Fontana, CA
National Provider Identifier
1891101077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 55698
- Practice address
- 8237 Sierra Ave
Fontana, CA 92335 - Phone
- (909) 428-5816
- Fax
- (909) 350-1427
- NPI assigned
- Jul 8, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 55698 | CA | Primary |
Addresses
Primary practice location
8237 Sierra Ave
Fontana, CA 92335
Mailing address
8237 Sierra Ave
Fontana, CA 92335
Phone (909) 428-5816
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 |
|---|---|---|---|
| 55698 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bark'S Acupuncture Clinic | 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
- Fontana, CA
- NPI 1477958312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404777600000",
"number": "1891101077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8237 SIERRA AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "92335",
"telephone_number": "909-428-5816",
"fax_number": "909-350-1427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8237 SIERRA AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "92335",
"telephone_number": "909-428-5816",
"fax_number": "909-350-1427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARK",
"first_name": "JINSEOK",
"name_prefix": "Mr.",
"credential": "CMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-08",
"last_updated": "2014-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "55698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.