Active NPI
Kellys Bloom LLC
- Acupuncturist
- Los Altos, CA
National Provider Identifier
1740155712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Legal business name
- KELLYS BLOOM LLC
- Practice address
- 317 State St
Los Altos, CA 94022-2816 - Phone
- (650) 383-5041
- NPI assigned
- Oct 8, 2025
- Organization subpart
- Yes
- Parent organization
- KELLYS BLOOM LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jing Ke, LAC
- Title
- PHD
- Phone
- (650) 383-5041
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Primary |
Addresses
Primary practice location
317 State St
Los Altos, CA 94022-2816
Mailing address
317 State St
Los Altos, CA 94022-2816
Phone (650) 383-5041
National Provider Directory
National Provider Directory- Part of
- Kellys Bloom LLC
Locations
317 State St
Los Altos, CA 94022
Phone (650) 383-5041
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Los Altos, CA
- NPI 1730897513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759881600000",
"number": "1740155712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 STATE ST",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940222816",
"telephone_number": "650-383-5041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 STATE ST",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940222816",
"telephone_number": "650-383-5041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KELLYS BLOOM LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KELLYS BLOOM LLC",
"enumeration_date": "2025-10-08",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A",
"authorized_official_last_name": "KE",
"authorized_official_first_name": "JING",
"authorized_official_title_or_position": "PHD",
"authorized_official_telephone_number": "650-383-5041",
"authorized_official_credential": "LAC"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Altos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.