Active NPI
Kimberly Ma, DC
- Chiropractor
- Oakland, CA
National Provider Identifier
1225628845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34955
- Practice address
- 600 Grand Ave
Suite 301
Oakland, CA 94610 - Phone
- (510) 922-1579
- NPI assigned
- Jan 19, 2021
- Sex
- Female
- 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 | 34955 | CA | Primary |
Addresses
Primary practice location
600 Grand Ave
Suite 301
Oakland, CA 94610
Mailing address
600 Grand Ave
Suite 301
Oakland, CA 94610
Phone (510) 922-1579
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1225628845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 GRAND AVE",
"address_2": "SUITE 301",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94610",
"telephone_number": "510-922-1579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 GRAND AVE",
"address_2": "SUITE 301",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94610",
"telephone_number": "510-922-1579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MA",
"first_name": "KIMBERLY",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-19",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "34955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.