NPIMap

Organization Active NPI

Kwan-Ocasio Chiropractic Corporation

Doing business as Sports Chiropractic Clinic

  • Chiropractor
  • Pasadena, CA
National Provider Identifier
1104938349
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28110 Issued in CA
Legal business name
KWAN-OCASIO CHIROPRACTIC CORPORATION
Doing business as
Sports Chiropractic Clinic
Practice address
236 W Mountain St
Suite 107
Pasadena, CA 91103-2967
Phone
(626) 449-0900
Fax
(626) 449-0800
NPI assigned
Aug 31, 2006
Last updated
Nov 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Authorized official

Name
Daniela Kwan Ocasio, D.C., A.T.C.NPI 1861576118
Title
Ceo
Phone
(626) 449-0900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC28110 CA Primary
Chiropractor 111N00000X DC30040 CA

Addresses

Primary practice location

236 W Mountain St
Suite 107
Pasadena, CA 91103-2967

Mailing address

130 Cook Ave Ste 102
Pasadena, CA 91107-7323
Phone (626) 796-8800

Other names 1

  • Sports Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

236 W Mountain St
Ste 107
Pasadena, CA 91103
Phone (626) 444-9090

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1104938349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 COOK AVE STE 102",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077323",
            "telephone_number": "626-796-8800",
            "fax_number": "626-796-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W MOUNTAIN ST",
            "address_2": "SUITE 107",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911032967",
            "telephone_number": "626-449-0900",
            "fax_number": "626-449-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWAN-OCASIO CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "OCASIO",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_middle_name": "KWAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-449-0900",
        "authorized_official_credential": "D.C., A.T.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28110",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.