Kathleen August, LAC
Individual provider Active NPI Acupuncturist · San Pablo, CA
NPI 1619742004 · NPPES record last updated Nov 16, 2023
Key facts
- NPI
- 1619742004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 19913 (CA)
- Practice address
- 2089 Vale Rd Ste 10
San Pablo, CA 94806-3848 - Phone
- (510) 831-2217
- NPI assigned
- Nov 16, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19913 | CA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 19913 | CA | Yes |
Addresses
Primary practice location
2089 Vale Rd Ste 10
San Pablo, CA 94806-3848
Mailing address
3921A Opal St
Oakland, CA 94609-2626
Phone (510) 499-0058
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All providers in San Pablo, CA · Acupuncturist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.