Vivian Kan, D.C, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

19786 Issued in CA

Practice address

1660 S Amphlett Blvd Ste 308
San Mateo, CA 94402-2527

Phone

(650) 242-5591

NPI assigned

May 3, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1841047164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 S AMPHLETT BLVD STE 308",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022527",
            "telephone_number": "650-242-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 S AMPHLETT BLVD STE 308",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022527",
            "telephone_number": "650-242-5591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Ralston Ave",
            "address_purpose": "LOCATION",
            "city": "Belmont",
            "state": "CA",
            "postal_code": "940022208",
            "country_code": "US",
            "telephone_number": "650-242-5591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAN",
        "first_name": "VIVIAN",
        "credential": "D.C, L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34918",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asha Kalonia
• Grace Ting Kam
• Annie Kamal
• Rachel Kammeyer, MA, CCC-SLP
• Eunice E Kan, L.AC.
• Amanda Rae Kanaday
• Lori Kandels
• Damisa Kang
• Elisa Kang
• Kimberly Kang

• Acupuncturist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.