Active NPI
Stephen Kiyoshi Nakano, DC
- Chiropractor
- Gardena, CA
National Provider Identifier
1073737516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC20327
- Practice address
- 1808 W 152ND St
Gardena, CA 90249-4202 - Phone
- (310) 323-3370
- Fax
- (310) 323-0233
- NPI assigned
- Apr 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC20327 | CA | Primary |
Addresses
Primary practice location
1808 W 152ND St
Gardena, CA 90249-4202
Mailing address
1808 W 152ND St
Gardena, CA 90249-4202
Phone (310) 323-3370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090904000239 | CA | Practitioner - Chiropractic | 1951456417 | Practice locations: Gardena, CA; Newport Beach, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1808 W 152ND St
Gardena, CA 90249-4202
Phone (310) 323-3370
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC20327 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glenn E. Cripe, DC, Inc | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Newport Beach, CA
- NPI 1285044115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073737516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 W 152ND ST",
"city": "GARDENA",
"state": "CA",
"postal_code": "902494202",
"telephone_number": "310-323-3370",
"fax_number": "310-323-0233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1808 W 152ND ST",
"city": "GARDENA",
"state": "CA",
"postal_code": "902494202",
"telephone_number": "310-323-3370",
"fax_number": "310-323-0233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKANO",
"first_name": "STEPHEN",
"middle_name": "KIYOSHI",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC20327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardena, 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.
- 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.