Individual provider Active NPI

Han Tae Choe, OMD (ACUPUNCTURIST)

  • Acupuncturist
  • Fontana, CA
National Provider Identifier
1952584211
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC11000 Issued in CA
Practice address
7488 Lime Ave
Fontana, CA 92336-3173
Phone
(626) 825-6846
Fax
(909) 356-5792
NPI assigned
Dec 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC11000 CA Primary

Addresses

Primary practice location

7488 Lime Ave
Fontana, CA 92336-3173

Mailing address

19745 Colima Rd
Suite 12 ( Dr Midas Medical Group )
Rowland Heights, CA 91748-3219
Phone (909) 595-5550

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
AC11000CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1952584211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19745 COLIMA RD",
            "address_2": "SUITE 12 ( DR MIDAS MEDICAL GROUP )",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917483219",
            "telephone_number": "909-595-5550",
            "fax_number": "626-310-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7488 LIME AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923363173",
            "telephone_number": "626-825-6846",
            "fax_number": "909-356-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOE",
        "first_name": "HAN TAE",
        "name_prefix": "Dr.",
        "credential": "OMD (ACUPUNCTURIST)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11000",
            "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 Dec 10, 2007; 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.