Active NPI
Kelly M McConville, M.S. TCM
- Acupuncturist
- Ramona, CA
National Provider Identifier
1164471850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 5534
- Practice address
- 23678 San Vicente Rd
Ramona, CA 92065-4245 - Phone
- (760) 735-0983
- NPI assigned
- May 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 5534 | CA | Primary |
Addresses
Primary practice location
23678 San Vicente Rd
Ramona, CA 92065-4245
Mailing address
13242 Triumph Dr
Poway, CA 92064-2980
Phone (760) 735-0983
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC 5534 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1164471850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13242 TRIUMPH DR",
"city": "POWAY",
"state": "CA",
"postal_code": "920642980",
"telephone_number": "760-735-0983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23678 SAN VICENTE RD",
"city": "RAMONA",
"state": "CA",
"postal_code": "920654245",
"telephone_number": "760-735-0983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONVILLE",
"first_name": "KELLY",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "M.S. TCM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 5534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ramona, CA
- McAlister Institute
- McAlister Institute for Treatment & Education, Inc (McAlister Institute Group Home North)
- McAlister Institute for Treatment & Education, Inc.
- Meagan McBride, LMFT
- Guadalupe McCarthy, QMHP
- Amanda Lauren Ramos Liberto McNamara, MS, CCC-SLP
- Marsha Slosarova Meehleib, REGISTERED NURSE
- Dulce Carolina Mendivil Dominguez
- Marlene Mendoza, DPT
- Mental Health Systems, Inc. (Teen Recovery Center - Ramona)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.