NPIMap

Organization Active NPI

Performance Chiropractic & Sports Care, Inc.

  • Chiropractor
  • Sacramento, CA
National Provider Identifier
1023348653
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PERFORMANCE CHIROPRACTIC & SPORTS CARE, INC.
Practice address
1707 Professional Dr
Sacramento, CA 95825-2104
Phone
(916) 483-6722
Fax
(916) 488-0790
NPI assigned
Jan 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Authorized official

Name
Dr. Yong J. Kim, D.C.NPI 1962643189
Title
President
Phone
(916) 483-6722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1707 Professional Dr
Sacramento, CA 95825-2104

Mailing address

1707 Professional Dr
Sacramento, CA 95825-2104
Phone (916) 483-6722

National Provider Directory

National Provider Directory

Locations

1707 Professional Dr
Sacramento, CA 95825
Phone (916) 483-6722

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1023348653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 PROFESSIONAL DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252104",
            "telephone_number": "916-483-6722",
            "fax_number": "916-488-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 PROFESSIONAL DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252104",
            "telephone_number": "916-483-6722",
            "fax_number": "916-488-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE CHIROPRACTIC & SPORTS CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YONG",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-483-6722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.