NPIMap

Organization Active NPI

Kang Chiropractic Inc.

  • Chiropractor
  • Irvine, CA
National Provider Identifier
1194903278
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27457 Issued in CA
Legal business name
KANG CHIROPRACTIC INC.
Practice address
113 Waterworks Way
115
Irvine, CA 92618-3171
Phone
(949) 727-1772
Fax
(949) 727-1782
NPI assigned
Jan 31, 2008
Last updated
Feb 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Christine Soo Ha, DCNPI 1346442761
Title
Office Manager
Phone
(626) 833-4329

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X DC27457 CA
Chiropractor 111N00000X DC27457 CA Primary

Addresses

Primary practice location

113 Waterworks Way
115
Irvine, CA 92618-3171

Mailing address

113 Waterworks Way
115
Irvine, CA 92618-3171
Phone (949) 727-1772

Other names 1

  • Zen Care Chiropractic Wellness Center Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091214000278 CA Part B Supplier - Clinic/Group Practice 3375683949 Receives reassigned benefits from 1 practitioner
Practice locations: Irvine, CA; Riverside, CA

National Provider Directory

National Provider Directory
Tax ID family
Kang Chiropractic Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6700 Indiana Ave
Ste 100
Riverside, CA 92506
Phone (951) 341-6565

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1194903278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WATERWORKS WAY",
            "address_2": "115",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183171",
            "telephone_number": "949-727-1772",
            "fax_number": "949-727-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WATERWORKS WAY",
            "address_2": "115",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183171",
            "telephone_number": "949-727-1772",
            "fax_number": "949-727-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANG CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "SOO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-833-4329",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "DC27457",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zen Care Chiropractic Wellness Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.