Individual provider Active NPI

Eun J Park, L.AC.

  • Acupuncturist
  • Bakersfield, CA
National Provider Identifier
1982829636
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC11521 Issued in CA
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

Updated by the provider on Apr 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
AC11521CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.