Active NPI
John Michael Ellis, L.AC.
- Acupuncturist
- San Francisco, CA
National Provider Identifier
1881661825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 9557
- Practice address
- 290 Division St
Suite 400
San Francisco, CA 94103-4882 - Phone
- (415) 431-7600
- Fax
- (415) 431-7608
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- No
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 | AC 9557 | CA | Primary |
Addresses
Primary practice location
290 Division St
Suite 400
San Francisco, CA 94103-4882
Mailing address
290 Division St
Suite 400
San Francisco, CA 94103-4882
Phone (415) 431-7600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11458741 | Other | CA | CAQH |
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 |
|---|---|---|---|
| AC 9557 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1881661825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 DIVISION ST",
"address_2": "SUITE 400",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941034882",
"telephone_number": "415-431-7600",
"fax_number": "415-431-7608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 DIVISION ST",
"address_2": "SUITE 400",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941034882",
"telephone_number": "415-431-7600",
"fax_number": "415-431-7608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 9557",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11458741",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.