Individual provider Active NPI

Matthew Kammerer, LAC, DIPLOM, MSTCM

  • Acupuncturist
  • San Francisco, CA
National Provider Identifier
1053061606
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
17953 Issued in CA
Practice address
2300 Sutter St Ste 203
San Francisco, CA 94115-3029
Phone
(415) 861-1101
Fax
(415) 644-0614
NPI assigned
Mar 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 17953 CA Primary

Addresses

Primary practice location

2300 Sutter St Ste 203
San Francisco, CA 94115-3029

Mailing address

250 Amesport LNDG
Half Moon Bay, CA 94019-1969

Other practice location 1

250 Amesport Lndg
Half Moon Bay, CA 94019-1969
Phone (650) 504-1177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17953CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chicken Soup Acupuncture Inc Acupuncturist Current Accepting new patients
Misha R. Cohen, Inc. Acupuncturist Past Accepting new patients

Locations

2300 Sutter St
Ste 203
San Francisco, CA 94115
Phone (415) 346-7223

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1648252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1053061606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 AMESPORT LNDG",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940191969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SUTTER ST STE 203",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153029",
            "telephone_number": "415-861-1101",
            "fax_number": "415-644-0614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Amesport Lndg",
            "address_purpose": "LOCATION",
            "city": "Half Moon Bay",
            "state": "CA",
            "postal_code": "940191969",
            "country_code": "US",
            "telephone_number": "650-504-1177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMMERER",
        "first_name": "MATTHEW",
        "credential": "LAC, DIPLOM, MSTCM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-26",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "17953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.