Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Mitchell Paul Kerman , ACUPUNCTURIST

Acupuncturist • Fort Bragg, CA

Active NPI 1104941160 Individual Practitioner Male Practitioner
Practice location in NPPES

205 South St
Fort Bragg, CA 954375540

Call 7079641251 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

205 South St

Fort Bragg, CA 954375540

Telephone 7079641251
Fax 7079612722
Organization at the Same NPPES Address or Phone
Mendocino Coast Clinics Inc Facility NPI 1083783757

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fort Bragg and California

6 active clinicians are listed under Acupuncturist with a practice address in Fort Bragg, CA (10,655 in California).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

License # reported to NPPES CA AC3055

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
FHC03967F (CA)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

19 listed
Cayo Alba , CNM, PMHNP-BC

Psychiatry & Neurology - Psychiatry

NPI 1164718334

Certified Nurse Midwife, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Willow Bartholomew , PA

Physician Assistant

NPI 1225650450

Physician Assistant

Jenna Breton , NPF

Nurse Practitioner

NPI 1427222538
Dr. Vanesa Goertzen , PhD

Psychologist - Cognitive & Behavioral

NPI 1902921745

Doctor of Philosophy (Ph.D.)

Dr. Lawrence Goldyn , MD

Family Medicine - Adult Medicine

NPI 1780605097

Doctor of Medicine (M.D.)

Dr. Wade Gray , MD

Family Medicine

NPI 1508861782

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated March 20, 2007.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1104941160
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

205 South St

Fort Bragg, CA 954375540

Phone: 7079641251

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.