Active NPI
Jon Mark Kakleas, D.C., P.T.
- Chiropractor
- San Rafael, CA
National Provider Identifier
1184841728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 23537
- Practice address
- 4380 Redwood Hwy Ste B6
San Rafael, CA 94903-2110 - Phone
- (415) 499-8469
- Fax
- (415) 499-8645
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 23537 | CA | Primary |
| Physical Therapist | 225100000X | PT 109380 | CA |
Addresses
Primary practice location
4380 Redwood Hwy Ste B6
San Rafael, CA 94903-2110
Mailing address
4380 Redwood Highway, Ste. B-6
San Rafael, CA 94903
Phone (415) 499-8469
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1981
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4380 Redwood Hwy
San Rafael, CA 94903-2110
Phone (415) 499-8469
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23537 | CA | MD | Clinical Psychologist |
| DC 23537 | CA | MD | Chiropractor |
| PT 109380 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kakleas Chiropractic, Inc. | Physical Therapist | Current | Accepting new patients |
| Zollner Precision Chiropractic and Wellness Inc. | Chiropractor | Past | Accepting new patients |
Locations
4380 Redwood Hwy
San Rafael, CA 94903
Phone (415) 499-8469
4380 Redwood Hwy
Ste B6
San Rafael, CA 94903
Phone (415) 499-8469
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.
-
- Physical Therapist
- San Rafael, CA
- NPI 1528227832
-
- Chiropractor
- San Rafael, CA
- NPI 1538463708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1184841728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4380 REDWOOD HIGHWAY, STE. B-6",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "94903",
"telephone_number": "415-499-8469",
"fax_number": "415-499-8645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4380 REDWOOD HWY STE B6",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949032110",
"telephone_number": "415-499-8469",
"fax_number": "415-499-8645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAKLEAS",
"first_name": "JON",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.C., P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 23537",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 109380",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.