Active NPI
Andres Cardenas, LAC
- Acupuncturist
- Portland, OR
National Provider Identifier
1831993021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC213128
- Practice address
- 12615 NE Halsey St
Portland, OR 97230-1930 - Phone
- (714) 655-2095
- NPI assigned
- Apr 4, 2025
- 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 | AC213128 | OR | Primary |
Addresses
Primary practice location
12615 NE Halsey St
Portland, OR 97230-1930
Mailing address
19 SE 93Rd Ave
Portland, OR 97216-2131
Phone (714) 655-2095
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC213128 | OR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1831993021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 SE 93RD AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162131",
"telephone_number": "714-655-2095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12615 NE HALSEY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972301930",
"telephone_number": "714-655-2095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDENAS",
"first_name": "ANDRES",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-04-04",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC213128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.