IndividualActive
Jae Park
NPI 1386705614 · Acupuncturist · Victorville, CA
Jae Park is a Acupuncturist provider in Victorville, CA (NPI 1386705614).
Provider details
- NPI number
- 1386705614
- Entity type
- Individual
- Primary specialty
- AcupuncturistOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- AC5537 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12640 Hesperia Rd Ste D
Victorville, CA 92395-7753
Phone: (760) 684-4143
Fax: (760) 684-8111
Street-level locationGet directions
Mailing address
12640 Hesperia Rd Ste D
Victorville, CA 92395-7753
Registry dates
- Enumerated
- 2006-12-12
- Last updated
- 2026-03-04
- Certified
- 2026-03-04
Frequently asked questions
- What is Jae Park's NPI number?
- Jae Park's National Provider Identifier (NPI) is 1386705614, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jae Park's specialty?
- Jae Park is listed in the NPPES registry with a primary specialty of Acupuncturist (Other Service Providers).
- Where is Jae Park located?
- Jae Park's practice location on file with NPPES is 12640 Hesperia Rd Ste D, Victorville, CA 92395-7753.
- What is Jae Park's phone number?
- The practice phone number listed in the NPPES registry for Jae Park is (760) 684-4143.
- Is Jae Park's NPI active?
- Yes — Jae Park's NPI (1386705614) is active in the NPPES registry as of the last update on 2026-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.