Individual provider Active NPI

Christian James Boscardin, DAOM

  • Acupuncturist
  • Kings Beach, CA
National Provider Identifier
1497633135
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
20087 Issued in CA
Practice address
695 Wolf St # 2979
Kings Beach, CA 96143-4503
Phone
(530) 546-8201
NPI assigned
Aug 21, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 20087 CA Primary

Addresses

Primary practice location

695 Wolf St # 2979
Kings Beach, CA 96143-4503

Mailing address

695 Wolf St # 2979
Kings Beach, CA 96143-4503
Phone (530) 546-8201

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
20087CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Kuehne Chiropractic and Wellness Center, Inc. CurrentSince Aug 25, 2025 Accepting new patients

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": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1497633135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 WOLF ST # 2979",
            "city": "KINGS BEACH",
            "state": "CA",
            "postal_code": "961434503",
            "telephone_number": "530-546-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 WOLF ST # 2979",
            "city": "KINGS BEACH",
            "state": "CA",
            "postal_code": "961434503",
            "telephone_number": "530-546-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCARDIN",
        "first_name": "CHRISTIAN",
        "middle_name": "JAMES",
        "credential": "DAOM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "20087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kings Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.