Kenneth Jordan Estudillo Jr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

36760 Issued in CA

Practice address

45 Lansing St Apt 412
San Francisco, CA 94105-3230

Phone

(510) 861-8040

NPI assigned

May 6, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• SS Integrative Medical Services Inc

  • Chiropractor
  • San Francisco, CA
  • NPI 1720509631
  NPD (past)

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1124875364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 LANSING ST APT 412",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941053230",
            "telephone_number": "510-861-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 LANSING ST APT 412",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941053230",
            "telephone_number": "510-861-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTUDILLO",
        "first_name": "KENNETH",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Estrella Dos Santos
• Francis R Estrella, NP
• Joel Estrellado
• Ma Patricia P Estrellado
• William Joseph Estrin, M.D.
• Ololade Abiodun Esuruoso, RN
• Meghana Eswarappa
• John C Etcheverry, D.C.
• Cathleen Anne Etcheveste, RN
• Eternal Health Medical of California, P.C.

• Chiropractor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.