Shawn Isao Kimura, DC,L.AC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC16449 Issued in CA

Practice address

8121 W. 3Rd St.
Los Angeles, CA 90048-4308

Phone

(323) 852-1023

Fax

(323) 651-1533

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Shawn Kimura Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1275562985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8121 W. 3RD ST.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484308",
            "telephone_number": "323-852-1023",
            "fax_number": "323-651-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 W. 3RD ST.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484308",
            "telephone_number": "323-852-1023",
            "fax_number": "323-651-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMURA",
        "first_name": "SHAWN",
        "middle_name": "ISAO",
        "name_prefix": "Mr.",
        "credential": "DC,L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC16449",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6670",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC16449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE LICENSE NUMBE",
            "identifier": "AC6670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWN",
            "last_name": "KIMURA",
            "credential": "D.C., L.AC., B.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kimura McClenaghan Optometrics, Inc. (ayumi eyewear)
• Daniel K. Kimura, O.D.
• Gregory K Kimura, PHARM.D.
• Leslie Mae Kimura, M.D.
• Robert T. Kimura, DMD
• Kin Foot and Ankle Inc.
• Rivky Kin, RBT
• Lisa Michelle Kinard
• Stephanee Alexandria Kincade
• Brian J Kincaid

• Chiropractor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.