Active NPI
James Van Kennen III
- Acupuncturist
- Pacific Grove, CA
National Provider Identifier
1265098651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 18175
- Practice address
- 150 15TH St
Pacific Grove, CA 93950-2735 - Phone
- (207) 329-5242
- NPI assigned
- May 12, 2019
- 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 | 18175 | CA | Primary |
Addresses
Primary practice location
150 15TH St
Pacific Grove, CA 93950-2735
Mailing address
155 Mill Rd
Santa Cruz, CA 95060
Phone (207) 329-5242
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 |
|---|---|---|---|
| 18175 | CA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1265098651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 MILL RD",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "95060",
"telephone_number": "207-329-5242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 15TH ST",
"city": "PACIFIC GROVE",
"state": "CA",
"postal_code": "939502735",
"telephone_number": "207-329-5242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN KENNEN",
"first_name": "JAMES",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-12",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "18175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pacific Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.