Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Supreeth Shivakanth, LAC

Individual provider Acupuncturist · NPI 1952191033

Mr. Supreeth Shivakanth, LAC is an Acupuncturist in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

4155 Moorpark Ave Ste 13
San Jose, CA 95117-1714
Phone: (551) 339-9738
Fax: (323) 220-8268
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 20341 (CA)

Record details

NPI number1952191033
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorYes
NPI enumeratedMay 12, 2025
Last updated in NPPESJuly 25, 2026
Certification dateJuly 25, 2026

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