Individual provider Active NPI

Joe Kandalaft, DC

  • Chiropractor
  • Downey, CA
National Provider Identifier
1003985326
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC206500 Issued in CA
Practice address
7340 Florence Ave
Suite 117
Downey, CA 90240
Phone
(562) 806-6763
Fax
(562) 806-6764
NPI assigned
Nov 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC206500 CA Primary

Addresses

Primary practice location

7340 Florence Ave
Suite 117
Downey, CA 90240

Mailing address

7340 Florence Ave
Suite 117
Downey, CA 90240
Phone (562) 806-6763

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
DC206500CAMDChiropractor

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003985326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7340 FLORENCE AVE",
            "address_2": "SUITE 117",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "90240",
            "telephone_number": "562-806-6763",
            "fax_number": "562-806-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 FLORENCE AVE",
            "address_2": "SUITE 117",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "90240",
            "telephone_number": "562-806-6763",
            "fax_number": "562-806-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDALAFT",
        "first_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC206500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.