Active NPI
CHI Kong Siu, D.C.
- Chiropractor
- San Francisco, CA
National Provider Identifier
1124489984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 29935
- Practice address
- 924 Grant Ave Ste 3
San Francisco, CA 94108-1325 - Phone
- (415) 519-7976
- NPI assigned
- Mar 8, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 29935 | CA | Primary |
Addresses
Primary practice location
924 Grant Ave Ste 3
San Francisco, CA 94108-1325
Mailing address
1326 E34Th Street
Oakland, CA 94602
Phone (510) 813-6055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160808002559 | CA | Practitioner - Chiropractic | 9032403449 | Practice locations: San Francisco, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1124489984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1326 E34TH STREET",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94602",
"telephone_number": "510-813-6055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "924 GRANT AVE STE 3",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941081325",
"telephone_number": "415-519-7976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIU",
"first_name": "CHI",
"middle_name": "KONG",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-08",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "29935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.