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Active NPI 1629130281 Individual Practitioner Male Practitioner

Jae Seob Kim , LAC

Acupuncturist • Fresno, CA

Professional Overview & Biography Verified Profile Summary

Jae Kim, LAC is a registered healthcare professional specializing in Acupuncturist in Fresno, CA. Practice services are available at 125 E BARSTOW AVE STE 110 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

125 E Barstow Ave Ste 110

Fresno, CA 937105023

Telephone 5594443300
Fax 5596061500
Associated Practice Facility / Clinic
🏢 Js Healthcare Management Inc Facility NPI 1568336006

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Fresno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.5 Yrs
Regional Practice Density
22 Specialists

Practicing in Fresno, CA (11031 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-29
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License CA AC10811

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ca Licensed Acupuncturist
AC10811 (CA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location September 29, 2025

Registered at 125 E BARSTOW AVE STE 110, FRESNO, CA 937105023 (Tel: 5594443300)

📍
Updated Business Mailing Address September 29, 2025

Registered at 125 E BARSTOW AVE STE 110, FRESNO, CA 937105023 (Tel: 5594443300)

📍
Updated Practice Location February 01, 2024

Registered at 773 EL PASO AVE, CLOVIS, CA 936113806 (Tel: 2137009497)

📍
Updated Business Mailing Address February 01, 2024

Registered at 773 EL PASO AVE, CLOVIS, CA 936113806 (Tel: 2137009497)

👤
Provider Name / Credentials Updated February 01, 2024

Recorded as JAE KIM, L.AC.

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 9900 BALBOA BLVD, SUITE A, NORTHRIDGE, CA 913255403 (Tel: 8187010017)

📍
Updated Business Mailing Address July 08, 2007

Registered at 24111 MEADOWBROOK LN, VALENCIA, CA 913541881 (Tel: 6612873464)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JAE KIM, L.AC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Acupuncturist (License #AC10811 in CA)

🟢
Initial NPI Registration & Enumeration December 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629130281
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2006
Last Update: September 29, 2025
Sole Proprietor: Yes

Mailing Address

125 E Barstow Ave Ste 110

Fresno, CA 937105023

Phone: 5594443300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.