Active NPI
K Robyn Kubo-Manley, DC
- Chiropractor
- San Jose, CA
National Provider Identifier
1336192889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC24867
- Practice address
- 1213 Meridian Ave
San Jose, CA 95125-5210 - Phone
- (408) 448-4004
- Fax
- (408) 448-4006
- NPI assigned
- May 18, 2006
- Last updated
- Aug 5, 2022
- 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 | DC24867 | CA | Primary |
Addresses
Primary practice location
1213 Meridian Ave
San Jose, CA 95125-5210
Mailing address
1213 Meridian Ave
San Jose, CA 95125-5210
Phone (408) 448-4004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050706000603 | CA | Practitioner - Chiropractic | 3779529227 | Practice locations: San Jose, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1213 Meridian Ave
San Jose, CA 95125-5210
Phone (408) 448-4004
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC24867 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1336192889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 MERIDIAN AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951255210",
"telephone_number": "408-448-4004",
"fax_number": "408-448-4006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 MERIDIAN AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951255210",
"telephone_number": "408-448-4004",
"fax_number": "408-448-4006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUBO-MANLEY",
"first_name": "K ROBYN",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC24867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.