NPIMap

Organization Active NPI

Brielle E. Kelly, L.Ac., Inc.

  • Acupuncturist
  • San Carlos, CA
National Provider Identifier
1679752505
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
10375 Issued in CA
Legal business name
BRIELLE E. KELLY, L.AC., INC.
Practice address
1336 El Camino Real
San Carlos, CA 94070-5005
Phone
(650) 596-5616
Fax
(650) 596-5653
NPI assigned
Oct 27, 2007
Last updated
Feb 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Authorized official

Name
Brielle Kelly, L.AC., DIPL.O.MNPI 1164509253
Title
Acupuncturist/Director
Phone
65025965616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 10375 CA Primary

Addresses

Primary practice location

1336 El Camino Real
San Carlos, CA 94070-5005

Mailing address

1336 El Camino Real
San Carlos, CA 94070-5005
Phone (650) 596-5616

National Provider Directory

National Provider Directory

Locations

10 El Camino Real
Ste 202
San Carlos, CA 94070
Phone (650) 549-4454

1336 El Camino Real
San Carlos, CA 94070
Phone (650) 596-5616

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1193443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1679752505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 EL CAMINO REAL",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705005",
            "telephone_number": "650-596-5616",
            "fax_number": "650-596-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 EL CAMINO REAL",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705005",
            "telephone_number": "650-596-5616",
            "fax_number": "650-596-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIELLE E. KELLY, L.AC., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-27",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "BRIELLE",
        "authorized_official_title_or_position": "ACUPUNCTURIST/DIRECTOR",
        "authorized_official_telephone_number": "65025965616",
        "authorized_official_credential": "L.AC., DIPL.O.M"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "10375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.