Organization Active NPI

Brian C. Kang Chiropractic, Inc.

  • Clinic/Center
  • Fullerton, CA
National Provider Identifier
1346724135
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BRIAN C. KANG CHIROPRACTIC, INC.
Practice address
1400 N Harbor Blvd Ste 570
Fullerton, CA 92835-4144
Phone
(714) 758-0119
NPI assigned
Sep 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Authorized official

Name
Dr. Brian C. Kang, D.C., L.AC.NPI 1831279876
Title
President
Phone
(714) 758-0119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1400 N Harbor Blvd Ste 570
Fullerton, CA 92835-4144

Mailing address

1400 N Harbor Blvd Ste 570
Fullerton, CA 92835-4144
Phone (714) 758-0119

Other practice location 1

2691 Richter Ave Ste 120
Irvine, CA 92606-5124
Phone (949) 250-3224

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190723003289 CA Part B Supplier - Clinic/Group Practice 6204162639 Receives reassigned benefits from 1 practitioner
Practice locations: Fullerton, CA

National Provider Directory

National Provider Directory

Locations

1400 N Harbor Blvd
Ste 570
Fullerton, CA 92835
Phone (714) 758-0119

2691 Richter Ave
Ste 120
Irvine, CA 92606
Phone (949) 250-3224

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1346724135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N HARBOR BLVD STE 570",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354144",
            "telephone_number": "714-758-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N HARBOR BLVD STE 570",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354144",
            "telephone_number": "714-758-0119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2691 Richter Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926065124",
            "country_code": "US",
            "telephone_number": "949-250-3224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIAN C. KANG CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-758-0119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., L.AC."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.