Ken Louis Cassorla, D,C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

13971 Issued in CA

Practice address

3811 Portola Dr
Santa Cruz, CA 95062-5232

Phone

(831) 462-3400

Fax

(831) 475-1122

NPI assigned

Jan 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ken Cassorla Chiropractic Corporation

  • Health Service Clinic/Center
  • Santa Cruz, CA
  • NPI 1417135716
  Medicare reassignment

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1194878561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 WILLOW HTS",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950039592",
            "telephone_number": "831-684-1688",
            "fax_number": "831-684-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 PORTOLA DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950625232",
            "telephone_number": "831-462-3400",
            "fax_number": "831-475-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSORLA",
        "first_name": "KEN",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D,C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "13971",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "13971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine M Cashman, LCSW
• Anne Mary Casler, LCSW
• Cassandra Danielle Caslib
• Elizabeth Casparian
• Sarah Casper, M.D.
• Aude Castagna
• Jasmine Clarissa Castelan
• Marissa Castello, ND
• Jesus Castilllo Jimenez
• Adilene Joanna Castillo Avendano

• Sports Physician Chiropractor in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Sports Physician Chiropractor in California

• 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.

Verify at the official NPI Registry.