Active NPI
Ryon Kim, LAC
- Acupuncturist
- Tustin, CA
National Provider Identifier
1902416399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 18897
- Practice address
- 151 Yorba St Ste 100
Tustin, CA 92780-2960 - Phone
- (714) 743-6570
- NPI assigned
- Jul 31, 2020
- Last updated
- Jul 31, 2020
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 18897 | CA | Primary |
Addresses
Primary practice location
151 Yorba St Ste 100
Tustin, CA 92780-2960
Mailing address
6428 Schubert Cir
Buena Park, CA 90621-3126
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 |
|---|---|---|---|
| 18897 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryon Acupuncture Corporation | Acupuncturist | Current | Accepting new patients |
Locations
151 Yorba St
Ste 100
Tustin, CA 92780
Phone (714) 743-6570
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596153600000",
"number": "1902416399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6428 SCHUBERT CIR",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906213126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 YORBA ST STE 100",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927802960",
"telephone_number": "714-743-6570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "RYON",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-31",
"last_updated": "2020-07-31",
"certification_date": "2020-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "18897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.