Active NPI
Kevin John De Comines, L.AC.
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1962721233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 13536
- Practice address
- 12401 Wilshire Blvd Ste 104
Los Angeles, CA 90025-1015 - Phone
- (310) 826-2021
- Fax
- (310) 442-0524
- NPI assigned
- May 25, 2010
- 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 | 13536 | CA | Primary |
Addresses
Primary practice location
12401 Wilshire Blvd Ste 104
Los Angeles, CA 90025-1015
Mailing address
20719 Collins St
Woodland Hills, CA 91367-6706
Phone (310) 739-9937
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 |
|---|---|---|---|
| 13536 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert a. Kilroy, DC a Chiropractic Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Los Angeles, CA
- NPI 1700062924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1962721233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20719 COLLINS ST",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913676706",
"telephone_number": "310-739-9937",
"fax_number": "818-912-6244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12401 WILSHIRE BLVD STE 104",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251015",
"telephone_number": "310-826-2021",
"fax_number": "310-442-0524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE COMINES",
"first_name": "KEVIN",
"middle_name": "JOHN",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-25",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "13536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.