Active NPI
Jeong Chuel Kim
- Biomedical Engineering Technician
- Fullerton, CA
National Provider Identifier
1942432232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Biomedical Engineering Technician
- Practice address
- 1343 W Valencia Dr
E
Fullerton, CA 92833-4044 - Phone
- (714) 525-1035
- Fax
- (714) 525-1046
- NPI assigned
- Aug 20, 2009
- 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 |
|---|---|---|---|---|
| Biomedical Engineering Technician | 2472B0301X | Primary |
Addresses
Primary practice location
1343 W Valencia Dr
E
Fullerton, CA 92833-4044
Mailing address
1343 W Valencia Dr
E
Fullerton, CA 92833-4044
Phone (714) 525-1035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930018754 | CA | DME Supplier - Prosthetic Personnel | 4688874233 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fullerton, CA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Prosthetic/Orthotic Supplier
- Fullerton, CA
- NPI 1346577160
O20100930018754
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268956800000",
"number": "1942432232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1343 W VALENCIA DR",
"address_2": "E",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928334044",
"telephone_number": "714-525-1035",
"fax_number": "714-525-1046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1343 W VALENCIA DR",
"address_2": "E",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928334044",
"telephone_number": "714-525-1035",
"fax_number": "714-525-1046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JEONG CHUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-20",
"last_updated": "2010-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "2472B0301X",
"taxonomy_group": "",
"desc": "Technician, Other, Biomedical Engineering",
"state": null,
"license": null,
"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 Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.