Active NPI
Kevin Imai, DC
- Chiropractor
- Santa Clara, CA
National Provider Identifier
1174729511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 28681
- Practice address
- 988 Walsh Ave
Santa Clara, CA 95050 - Phone
- (408) 988-6868
- NPI assigned
- Jun 22, 2007
- 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 | 28681 | CA | Primary |
Addresses
Primary practice location
988 Walsh Ave
Santa Clara, CA 95050
Mailing address
56 Avenida Grande
San Jose, CA 95139-1106
Phone (408) 578-1056
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28681 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174729511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 AVENIDA GRANDE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951391106",
"telephone_number": "408-578-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "988 WALSH AVE",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "95050",
"telephone_number": "408-988-6868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMAI",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "28681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, 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.