Individual provider Active NPI

Kelly T Mai, D.C.,L.AC

  • Acupuncturist
  • Chino, CA
National Provider Identifier
1629008362
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
9251 Issued in CA
Practice address
5266 Francis Ave
Chino, CA 91710-1925
Phone
(909) 590-3122
Fax
(909) 590-3801
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 27481 CA
Acupuncturist 171100000X 9251 CA Primary

Addresses

Primary practice location

5266 Francis Ave
Chino, CA 91710-1925

Mailing address

5266 Francis Ave
Chino, CA 91710-1925
Phone (909) 590-3122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061229000135 CA Practitioner - Chiropractic 8022018811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5624 Philadelphia St
Suite 101
Chino, CA 91710-8704
Phone (909) 464-8585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9251CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly T. Mai, a Professional Chiropractic Corporation CurrentSince Apr 15, 2013 Accepting new patients
Villaverde Chirporactic a Professional Corporation Chiropractor PastSince Feb 22, 2013 Accepting new patients

Locations

12801 Mountain Ave
Ste B
Chino, CA 91710
Phone (909) 464-8585

5624 Philadelphia St
Ste 101
Chino, CA 91710
Phone (909) 464-8585

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1629008362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5266 FRANCIS AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101925",
            "telephone_number": "909-590-3122",
            "fax_number": "909-590-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5266 FRANCIS AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101925",
            "telephone_number": "909-590-3122",
            "fax_number": "909-590-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "KELLY",
        "middle_name": "T",
        "credential": "D.C.,L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "27481",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "9251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.