Individual provider Active NPI

Michelle Kercado, L. AC

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1811442833
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
18908 Issued in CA
Practice address
2404 Broadway FL 2
San Diego, CA 92102-2097
Phone
(845) 492-1409
NPI assigned
Aug 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 005797 NY
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 18908 CA Primary

Addresses

Primary practice location

2404 Broadway FL 2
San Diego, CA 92102-2097

Mailing address

2404 Broadway FL 2
San Diego, CA 92102-2097
Phone (845) 492-1409

Other names 1

  • Michelle Lynn Vlahakis Former name

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
18908CAMDClinical Social Worker
005797NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1811442833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 BROADWAY FL 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022097",
            "telephone_number": "845-492-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 BROADWAY FL 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022097",
            "telephone_number": "845-492-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERCADO",
        "first_name": "MICHELLE",
        "credential": "L. AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005797",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "18908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "VLAHAKIS",
            "middle_name": "LYNN",
            "credential": "L.AC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

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