JAE SEOB KIM L.AC.
NPI 1629130281
Acupuncturist in Fresno, CA

Active since December 13, 2006
125 E BARSTOW AVE STE 110, FRESNO, CA 93710(559) 444-3300(559) 606-1500 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jae Seob Kim L.ac. NPPES

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

JAE SEOB KIM L.AC. (NPI 1629130281) is an individual acupuncturist in Fresno, California, licensed in California (AC10811) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1629130281
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameJAE SEOB KIMCredential: L.AC.
Location Address125 E BARSTOW AVE STE 110Fresno, CA 93710-5023
Mailing Address125 E Barstow Ave Ste 110Fresno, CA 93710-5023 · (559) 444-3300 · Fax (559) 606-1500
Fax(559) 606-1500
Sole ProprietorYes
Enumeration DateDecember 13, 2006
Last NPPES UpdateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
NPI 1629130281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License Licensed in CA · AC10811
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.
125 E BARSTOW AVE STE 110, Fresno, CA 93710

Other Identifiers 1

OtherAC10811CA · Ca Licensed Acupuncturist

Accepted Insurance

Other Providers at the Same Location NPPES

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

Acupuncturist
125 E BARSTOW AVE STE 110
FRESNO, CA 93710

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 Kim's NPI number?

The NPI number for Jae Kim is 1629130281. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Jae Kim located?

Jae Kim practices at 125 E Barstow Ave Ste 110, Fresno, CA 93710. The listed phone number is (559) 444-3300.

What is Jae Kim's specialty?

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

What insurance does Jae Kim accept?

Health plans from Providence Health Plan list Jae Kim 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 Kim was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.