Individual provider Active NPI

Hyuiwon Sara Suh, LAC

  • Acupuncturist
  • Fullerton, CA
National Provider Identifier
1922578780
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC18210 Issued in CA
Practice address
2720 Sheridan Rd
Fullerton, CA 92833-1422
Phone
(714) 616-2200
NPI assigned
Dec 4, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X TCH54797 CA
Acupuncturist 171100000X AC18210 CA Primary

Addresses

Primary practice location

2720 Sheridan Rd
Fullerton, CA 92833-1422

Mailing address

2720 Sheridan Rd
Fullerton, CA 92833-1422
Phone (714) 616-2200

Other practice location 1

8600 Beach Blvd Ste 104
Buena Park, CA 90620-5201
Phone (714) 821-9688

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

LicenseStateTypeSpecialty
AC18210CAMDAcupuncturist
TCH54797CAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
A&S Family Acupuncture Clinic Acupuncturist 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.

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1922578780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 SHERIDAN RD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928331422",
            "telephone_number": "714-616-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 SHERIDAN RD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928331422",
            "telephone_number": "714-616-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8600 Beach Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Buena Park",
            "state": "CA",
            "postal_code": "906205201",
            "country_code": "US",
            "telephone_number": "714-821-9688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUH",
        "first_name": "HYUIWON",
        "middle_name": "SARA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "TCH54797",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC18210",
            "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 Dec 4, 2018; 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.