Individual provider Active NPI

Kala M Peterson, DC

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1306583828
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC37384 Issued in CA
Practice address
7290 Navajo Rd Ste 109
San Diego, CA 92119-1631
Phone
(619) 320-5639
NPI assigned
May 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC37384 CA Primary
Chiropractor 111N00000X CH14064 FL

Addresses

Primary practice location

7290 Navajo Rd Ste 109
San Diego, CA 92119-1631

Mailing address

7290 Navajo Rd Ste 109
San Diego, CA 92119-1631
Phone (619) 320-5639

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220907001064 FL Practitioner - Chiropractic 9133503360 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC37384CAMDChiropractor
CH14064FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kala Peterson Chiropractic Inc Chiropractor Current Accepting new patients
Orchid Island Chiropractic, LLC Chiropractor CurrentSince Jun 1, 2022 Accepting new patients
Patrick J Walther DC PLLC Chiropractor PastSince May 22, 2022 Accepting new patients

Locations

7290 Navajo Rd
Ste 109
San Diego, CA 92119
Phone (619) 320-5639

9613 N US Highway 1
Sebastian, FL 32958
Phone (772) 766-3311

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1306583828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7290 NAVAJO RD STE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921191631",
            "telephone_number": "619-320-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7290 NAVAJO RD STE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921191631",
            "telephone_number": "619-320-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "KALA",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC37384",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14064",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.