Kristo Kucaric Jr., L. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

16130 Issued in CA

Practice address

1335 Broad St Ste a
San Luis Obispo, CA 93401-1932

Phone

(805) 395-6881

Fax

(805) 855-4178

NPI assigned

Aug 17, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Intuitive Acupuncture

  • Acupuncturist
  • San Luis Obispo, CA
  • NPI 1811350457
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1043986557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 JOHNSON AVE # 137",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013306",
            "telephone_number": "619-822-0843",
            "fax_number": "805-855-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 BROAD ST STE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934011932",
            "telephone_number": "805-395-6881",
            "fax_number": "805-855-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCARIC",
        "first_name": "KRISTO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "L. AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-17",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dina Marie Krull, APCC
• Seth Daniel Krumheuer
• Lauren Krup, PHARMD
• Jordyn Kruse
• Timothy Kuang, M.D.
• Michael Edward Kudrna, CATC-III
• Jennifer N Kuiken, LPT
• Tara Marie Kulikov, L.AC.
• Randall Kullgren
• Ananya Kumar

• Acupuncturist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.