Active NPI
Eun J Park, L.AC.
- Acupuncturist
- Bakersfield, CA
National Provider Identifier
1982829636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC11521
- Practice address
- 2920 F St Ste F11
Bakersfield, CA 93301-1829 - Phone
- (661) 434-3415
- Fax
- (888) 498-7692
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- 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 | AC11521 | CA | Primary |
Addresses
Primary practice location
2920 F St Ste F11
Bakersfield, CA 93301-1829
Mailing address
2920 F St.
F-11
Bakersfield, CA 93301-1845
Phone (661) 434-3415
Other practice location 1
5953 Laurel Caynon Blvd.
Suite A
valley village, CA 91607
Phone (213) 249-1298
Other practice location 2
3321 W Pico Blvd.
Los Angeles, CA 90019
Phone (323) 733-9275
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 |
|---|---|---|---|
| AC11521 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apricot Grove Acupuncture | 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.
-
- Acupuncturist
- Bakersfield, CA
- NPI 1811309842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523577600000",
"number": "1982829636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 F ST.",
"address_2": "F-11",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933011845",
"telephone_number": "661-434-3415",
"fax_number": "888-498-7692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 F ST STE F11",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933011829",
"telephone_number": "661-434-3415",
"fax_number": "888-498-7692"
}
],
"practiceLocations": [
{
"address_1": "5953 Laurel Caynon Blvd.",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "valley village",
"state": "CA",
"postal_code": "91607",
"country_code": "US",
"telephone_number": "213-249-1298",
"fax_number": "888-498-7692",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3321 W Pico Blvd.",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "90019",
"country_code": "US",
"telephone_number": "323-733-9275",
"fax_number": "323-733-9275",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARK",
"first_name": "EUN",
"middle_name": "J",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2018-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC11521",
"primary": true
}
],
"identifiers": [],
"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 Apr 13, 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.