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DR. JAE SEOG PARK
NPI 1386705614
Acupuncturist in Victorville, CA

Active since December 12, 2006
12640 HESPERIA RD STE D, VICTORVILLE, CA 92395(760) 684-4143(760) 684-8111 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 4, 2026, Dec 9, 2024 (2 updates tracked since 2024).

About Dr. Jae Seog Park NPPES

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

DR. JAE SEOG PARK (NPI 1386705614) is an individual acupuncturist in Victorville, California, licensed in California (AC5537) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1386705614
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameDR. JAE SEOG PARK
Location Address12640 HESPERIA RD STE DVictorville, CA 92395-7753
Mailing Address12640 Hesperia Rd Ste DVictorville, CA 92395-7753 · (760) 684-4143 · Fax (760) 684-8111
Phone(760) 684-4143
Fax(760) 684-8111
Sole ProprietorYes
Enumeration DateDecember 12, 2006
Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1386705614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in CA · AC5537
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.
12640 HESPERIA RD STE D, Victorville, CA 92395
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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 15

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

KIA NICHELLE
Marriage & Family Therapist
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143
MS. FIJI SIMMONS FNP-BC
Nurse Practitioner (Family)
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143
THY MINH PHAM RDN
Dietitian, Registered
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143
VICKIE R ALEXANDER FNP-BC
Nurse Practitioner (Family)
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-8999
EMILY TRUONG DC
Chiropractor
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143
CLAUDIA VILLIERME M.ED., M.F.T.
Marriage & Family Therapist
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143
LEXIE LUKER DC
Chiropractor
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143
TOBIAS MOELLER-BERTRAM MD CORPORATION
Durable Medical Equipment & Medical Supplies
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143

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 Park's NPI number?

The NPI number for Jae Park is 1386705614. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Jae Park located?

Jae Park practices at 12640 Hesperia Rd Ste D, Victorville, CA 92395. The listed phone number is (760) 684-4143.

What is Jae Park's specialty?

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

What insurance does Jae Park accept?

Health plans from Providence Health Plan list Jae 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 Park was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.