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JAE CHANG PARK L.A.C.
NPI 1255463675
Acupuncturist in Santa Maria, CA

Active since March 12, 2007
940 E MAIN ST, SANTA MARIA, CA 93454(805) 332-9839 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jae Chang Park L.a.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAE CHANG PARK L.A.C. (NPI 1255463675) is an individual acupuncturist in Santa Maria, California, licensed in California (AC 10209) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1255463675
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameJAE CHANG PARKCredential: L.A.C.
Location Address940 E MAIN STSanta Maria, CA 93454-5331
Mailing Address940 E Main StSanta Maria, CA 93454-5331 · (805) 332-9839
Phone(805) 332-9839
Sole ProprietorYes
Enumeration DateMarch 12, 2007
Last NPPES UpdateJanuary 26, 2023
NPPES CertifiedJanuary 26, 2023
✔ NPI 1255463675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in CA · AC 10209
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
940 E MAIN ST, Santa Maria, CA 93454
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Other Identifiers 1

OtherAC 10209CA · Acupunturist

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIN KYEONG KWON LAC
Acupuncturist
940 E MAIN ST
SANTA MARIA, CA 93454
Santa Barbara County (805) 779-1255
SEVEN OAKS WELLNESS CENTER
Acupuncturist
940 E MAIN ST
SANTA MARIA, CA 93454
Santa Barbara County (805) 925-2395
MONTANA REHABILITATION THERAPY
Occupational Therapist
940 E MAIN ST
SANTA MARIA, CA 93454
Santa Barbara County (805) 614-4879

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jae Chang Park's NPI number?

The NPI number for Jae Chang Park is 1255463675. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Where is Jae Chang Park located?

Jae Chang Park practices at 940 E Main St, Santa Maria, CA 93454. The listed phone number is (805) 332-9839.

What is Jae Chang Park's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

What insurance does Jae Chang Park accept?

Health plans from Providence Health Plan list Jae Chang Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jae Chang Park was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.