Active NPI
Hansung Jang, LA.C
- Acupuncturist
- Clovis, CA
National Provider Identifier
1982179537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 18199
- Practice address
- 200 W Bullard Ave Ste B1
Clovis, CA 93612-0857 - Phone
- (559) 904-1181
- NPI assigned
- Oct 10, 2018
- 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 | 18199 | CA | Primary |
Addresses
Primary practice location
200 W Bullard Ave Ste B1
Clovis, CA 93612-0857
Mailing address
1862 E Fir Ave Apt 203
Fresno, CA 93720-2727
Phone (559) 904-1181
Other names 1
- Hansung Jang
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 |
|---|---|---|---|
| 18199 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1982179537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1862 E FIR AVE APT 203",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202727",
"telephone_number": "559-904-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W BULLARD AVE STE B1",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936120857",
"telephone_number": "559-904-1181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANG",
"first_name": "HANSUNG",
"name_prefix": "Mr.",
"credential": "LA.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-10",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "18199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HANSUNG",
"last_name": "JANG",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.