Individual provider Active NPI

Derek Kevin Lavoie, DVM, LAC

  • Acupuncturist
  • Milpitas, CA
National Provider Identifier
1891596326
Registry record updated Mar 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
20309 Issued in CA
Practice address
1054 Courtland Ave
Milpitas, CA 95035-6926
Phone
(805) 305-1396
NPI assigned
Mar 21, 2025
Last updated
Mar 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 20309 CA Primary

Addresses

Primary practice location

1054 Courtland Ave
Milpitas, CA 95035-6926

Mailing address

1054 Courtland Ave
Milpitas, CA 95035-6926
Phone (805) 305-1396

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
20309CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742601600000",
    "number": "1891596326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 COURTLAND AVE",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356926",
            "telephone_number": "805-305-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 COURTLAND AVE",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356926",
            "telephone_number": "805-305-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVOIE",
        "first_name": "DEREK",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DVM, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "20309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2025; 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.