NPIMap

Organization Active NPI

Fata Inc

  • Acupuncturist
  • Bakersfield, CA
National Provider Identifier
1932439486
Registry record updated Jan 6, 2010
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Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC12047 Issued in CA
Legal business name
FATA INC
Practice address
2004 Brundage Lane
Bakersfield, CA 93304
Phone
(661) 663-9673
NPI assigned
Jan 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Authorized official

Name
Soon Park
Title
President
Phone
(661) 633-9673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC12047 CA Primary

Addresses

Primary practice location

2004 Brundage Lane
Bakersfield, CA 93304

Mailing address

2004 Brundage Lane
Bakersfield, CA 93304
Phone (661) 663-9673

Other identifiers 1

IdentifierTypeStateIssuer
AC12047OtherCAACUPUNCTURE

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1932439486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 BRUNDAGE LANE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93304",
            "telephone_number": "661-663-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 BRUNDAGE LANE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93304",
            "telephone_number": "661-663-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-633-9673"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "AC12047",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 6, 2010; 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.