Individual provider Active NPI

Arnold Koo, DC

  • Chiropractor
  • Pleasanton, CA
National Provider Identifier
1073148474
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34641 Issued in CA
Practice address
6654 Koll Center Pkwy Ste 100
Pleasanton, CA 94566-3123
Phone
(925) 396-8004
Fax
(925) 396-8005
NPI assigned
Mar 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34641 CA Primary

Addresses

Primary practice location

6654 Koll Center Pkwy Ste 100
Pleasanton, CA 94566-3123

Mailing address

6654 Koll Center Pkwy Ste 100
Pleasanton, CA 94566-3123
Phone (925) 396-8004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200709001692 CA Practitioner - Chiropractic 3678996675

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6654 Koll Ctr Pkwy
Suite 100
Pleasanton, CA 94566-3123
Phone (925) 396-8004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34641CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arnold Koo Chiropractic PC Chiropractor CurrentSince Jul 1, 2020 Accepting new patients

Locations

6654 Koll Center Pkwy
Ste 100
Pleasanton, CA 94566
Phone (925) 396-8004

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1073148474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6654 KOLL CENTER PKWY STE 100",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945663123",
            "telephone_number": "925-396-8004",
            "fax_number": "925-396-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6654 KOLL CENTER PKWY STE 100",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945663123",
            "telephone_number": "925-396-8004",
            "fax_number": "925-396-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOO",
        "first_name": "ARNOLD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.