Active NPI
Ken C Tsai, L.AC,PH.D
- Acupuncturist
- San Bernardino, CA
National Provider Identifier
1770554552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC1580
- Practice address
- 1315 North D Street
San Bernardino, CA 92405 - Phone
- (909) 381-5075
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC1580 | CA | Primary |
Addresses
Primary practice location
1315 North D Street
San Bernardino, CA 92405
Mailing address
26771 West Haven Drive
Laguna Hills, CA 92653
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC1580 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770554552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26771 WEST HAVEN DRIVE",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "92653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 NORTH D STREET",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "92405",
"telephone_number": "909-381-5075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSAI",
"first_name": "KEN",
"middle_name": "C",
"credential": "L.AC,PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC1580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.