Individual provider Active NPI

Kevin Lee Hoffman, D.C.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1134163678
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
18110 Issued in CA
Practice address
7051 Clairemont Mesa Blvd
Ste. 303
San Diego, CA 92111-1040
Phone
(858) 627-9220
Fax
(858) 627-9223
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 18110 CA Primary

Addresses

Primary practice location

7051 Clairemont Mesa Blvd
Ste. 303
San Diego, CA 92111-1040

Mailing address

7051 Clairemont Mesa Blvd
Ste. 303
San Diego, CA 92111-1040
Phone (858) 627-9220

Other identifiers 1

IdentifierTypeStateIssuer
330341589OtherCAFEDERAL TAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18110CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick Chiropractic Corp Past Accepting new patients
Hoffman Chiropractic Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134163678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7051 CLAIREMONT MESA BLVD",
            "address_2": "STE. 303",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111040",
            "telephone_number": "858-627-9220",
            "fax_number": "858-627-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 CLAIREMONT MESA BLVD",
            "address_2": "STE. 303",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111040",
            "telephone_number": "858-627-9220",
            "fax_number": "858-627-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "18110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "330341589",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.