Individual provider Active NPI

Chaelim Choi

  • Acupuncturist
  • Garden Grove, CA
National Provider Identifier
1992449417
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC17365 Issued in CA
Practice address
9860 Garden Grove Blvd
Garden Grove, CA 92844-1643
Phone
(714) 591-5360
Fax
(714) 591-5361
NPI assigned
Apr 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC17365 CA Primary

Addresses

Primary practice location

9860 Garden Grove Blvd
Garden Grove, CA 92844-1643

Mailing address

9860 Garden Grove Blvd
Garden Grove, CA 92844-1643
Phone (714) 591-5360

Other identifiers 1

IdentifierTypeStateIssuer
AC17365OtherCACALIFORNIA ACUPUNCTURE BOARD

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL GARDENGROVE Other

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
AC17365CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1992449417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9860 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441643",
            "telephone_number": "714-591-5360",
            "fax_number": "714-591-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9860 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441643",
            "telephone_number": "714-591-5360",
            "fax_number": "714-591-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "CHAELIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC17365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA ACUPUNCTURE BOARD",
            "identifier": "AC17365",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "GARDENGROVE",
            "affiliation": "N",
            "endpointDescription": "GARDENGROVE",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "GARDENGROVE",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "GARDEN GROVE",
            "address_1": "9860 Garden Grove Blvd",
            "city": "Garden Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928441643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.