Active NPI
Kenneth Chao, LAC
- Acupuncturist
- Glendale, CA
National Provider Identifier
1225260375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC12762
- Practice address
- 222 Monterey Rd
#1005
Glendale, CA 91206-2052 - Phone
- (818) 291-3958
- Fax
- (818) 502-0435
- NPI assigned
- Aug 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | AC12762 | CA | Primary |
Addresses
Primary practice location
222 Monterey Rd
#1005
Glendale, CA 91206-2052
Mailing address
6301 Beach Blvd
Suite 111 & 101
Buena Park, CA 90621-2840
Phone (714) 783-5889
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC12762 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250812800000",
"number": "1225260375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301 BEACH BLVD",
"address_2": "SUITE 111 & 101",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906212840",
"telephone_number": "714-783-5889",
"fax_number": "714-994-8090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 MONTEREY RD",
"address_2": "#1005",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912062052",
"telephone_number": "818-291-3958",
"fax_number": "818-502-0435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAO",
"first_name": "KENNETH",
"name_prefix": "Mr.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-21",
"last_updated": "2009-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC12762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.