Kinetic Inner Qi Acupuncture and Sports Medicine, Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

AC13094 Issued in CA

Legal business name

KINETIC INNER QI ACUPUNCTURE AND SPORTS MEDICINE, INC.

Practice address

543 Orange Ave
Coronado, CA 92118-1826

Phone

(619) 634-9550

Fax

(619) 437-4909

NPI assigned

Feb 15, 2018

Last updated

Feb 15, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miriam Gilson, L.AC. MSTOMNPI 1619209194

Title

Licensed Acupuncturist

Phone

(619) 634-9550

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Miriam Elizabeth Gilson, MSTOM, L.AC. C.SMA

  • Acupuncturist
  • Coronado, CA
  • NPI 1619209194
  Authorized official Same address or phone

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518652800000",
    "number": "1356841431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 ORANGE AVE",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181826",
            "telephone_number": "619-634-9550",
            "fax_number": "619-437-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 ORANGE AVE",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181826",
            "telephone_number": "619-634-9550",
            "fax_number": "619-437-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC INNER QI ACUPUNCTURE AND SPORTS MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A",
        "authorized_official_last_name": "GILSON",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "619-634-9550",
        "authorized_official_credential": "L.AC. MSTOM"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "AC13094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Kane
• Deann Dana Keating, NP
• Peter R. Kelly, M.D.
• Patricia Marie Kettlehake, MD
• Khan G Ha MD Inc
• Ethan Kizziar, DPT
• Christopher Hampton Kleber, DDS
• Jessica Knebel, RN
• Arash Kohan, PHARMD
• John Elwood Kohler, OD

• Medical Specialty Clinic/Center in Coronado, CA
• Providers in Coronado, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.