Individual provider Active NPI

Heidi Lai Kao, DAOM, LAC, MSTOM

  • Acupuncturist
  • Oakland, CA
National Provider Identifier
1659453181
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC8769 Issued in CA
Practice address
430 40TH St
Suite 1
Oakland, CA 94609-2691
Phone
(510) 844-0095
Fax
(510) 844-0245
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC8769 CA Primary

Addresses

Primary practice location

430 40TH St
Suite 1
Oakland, CA 94609-2691

Mailing address

430 40TH St
Suite 1
Oakland, CA 94609-2691
Phone (510) 844-0095

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
AC8769CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1659453181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 40TH ST",
            "address_2": "SUITE 1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092691",
            "telephone_number": "510-844-0095",
            "fax_number": "510-844-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 40TH ST",
            "address_2": "SUITE 1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092691",
            "telephone_number": "510-844-0095",
            "fax_number": "510-844-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAO",
        "first_name": "HEIDI",
        "middle_name": "LAI",
        "name_prefix": "Dr.",
        "credential": "DAOM, LAC, MSTOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC8769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.