Ata Kelly, L.AC., MD

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

9891 Issued in CA

Practice address

25272 Bentley
Laguna Hills, CA 92653-4610

Phone

(818) 427-8417

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Acupuncture & Global Wellness Inc

  • Acupuncturist
  • Laguna Hills, CA
  • NPI 1194219592
  NPD Authorized official
• Akuwell Inc

  • Acupuncturist
  • Laguna Hills, CA
  • NPI 1790655728
  NPD Authorized official
• Akuwell LLC

  • Acupuncturist
  • Laguna Hills, CA
  • NPI 1972364420
  NPD Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1811042120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25272 BENTLEY",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534610",
            "telephone_number": "818-427-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25272 BENTLEY",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534610",
            "telephone_number": "818-427-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ATA",
        "name_prefix": "Dr.",
        "credential": "L.AC., MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "9891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denese Dawn Kaufeldt Montano, P.T.
• Suzanne Helen Kearney
• Keeban Nam, M.D., Inc.
• Keemia Medical Corp
• Kelly Portnoff, M.D., Inc.
• Kylene Kelly, ED.D.C.P.
• Patrick Kevin Kelly
• Shawna Kemp, OTR
• Kristen Kempiak, OTA
• Mary Kern, CNM, FNP-C

• Acupuncturist in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.