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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. SUPREETH SHIVAKANTH L.AC
NPI 1952191033
Acupuncturist in San Jose, CA

Active since May 12, 2025
4155 MOORPARK AVE STE 13, SAN JOSE, CA 95117(551) 339-9738(323) 220-8268 Get Directions Write a Review

NPPES record last updated: July 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2026, May 12, 2025 (2 updates tracked since 2025).

About Mr. Supreeth Shivakanth L.ac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SUPREETH SHIVAKANTH L.AC (NPI 1952191033) is an individual acupuncturist in San Jose, California, licensed in California (20341) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1952191033
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameMR. SUPREETH SHIVAKANTHCredential: L.AC
Location Address4155 MOORPARK AVE STE 13San Jose, CA 95117-1714
Mailing Address4155 Moorpark Ave Ste 13San Jose, CA 95117-1714 · (669) 669-4534 · Fax (323) 220-8268
Phone(551) 339-9738
Fax(323) 220-8268
Sole ProprietorYes
Enumeration DateMay 12, 2025
Last NPPES UpdateJuly 25, 20262 updates tracked since enumeration
NPPES CertifiedJuly 25, 2026
✔ NPI 1952191033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in CA · 20341
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
4155 MOORPARK AVE STE 13, San Jose, CA 95117
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ALEXANDER YE MS
Acupuncturist
4155 MOORPARK AVE STE 13
SAN JOSE, CA 95117
Santa Clara County (408) 661-8995
SANDY LAI
Acupuncturist
4155 MOORPARK AVE STE 13
SAN JOSE, CA 95117
Santa Clara County (669) 342-4975

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Supreeth Shivakanth's NPI number?

The NPI number for Supreeth Shivakanth is 1952191033. It was assigned to this individual provider in the NPPES registry on May 12, 2025.

Where is Supreeth Shivakanth located?

Supreeth Shivakanth practices at 4155 Moorpark Ave Ste 13, San Jose, CA 95117. The listed phone number is (551) 339-9738.

What is Supreeth Shivakanth's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Supreeth Shivakanth was last updated on July 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.