Individual provider Active NPI

Kevin T. Tai, DAOM, LAC

  • Acupuncturist
  • Los Altos, CA
National Provider Identifier
1215797477
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC20042 Issued in CA
Practice address
4546 El Camino Real Ste B6
Los Altos, CA 94022-1069
Phone
(650) 949-3637
Fax
(650) 942-0272
NPI assigned
Mar 22, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 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 AC20042 CA Primary

Addresses

Primary practice location

4546 El Camino Real Ste B6
Los Altos, CA 94022-1069

Mailing address

4546 El Camino Real Ste B6
Los Altos, CA 94022-1069
Phone (650) 949-3637

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
AC20042CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Mahjong Acupuncture and Traditional Chinese Medicine, Inc. Acupuncturist CurrentSince Apr 28, 2024 Accepting new patients

Locations

4546 El Camino Real
Ste B6
Los Altos, CA 94022
Phone (650) 209-4588

1399 S Winchester Blvd
Ste 140
San Jose, CA 95128
Phone (408) 261-0772

Organizations & group practices 1

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": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1215797477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4546 EL CAMINO REAL STE B6",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221069",
            "telephone_number": "650-949-3637",
            "fax_number": "650-942-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 EL CAMINO REAL STE B6",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221069",
            "telephone_number": "650-949-3637",
            "fax_number": "650-942-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAI",
        "first_name": "KEVIN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "DAOM, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-22",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC20042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.