Individual provider Active NPI

Alex Kha, DC

  • Chiropractor
  • Alameda, CA
National Provider Identifier
1346910833
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC36162 Issued in CA
Practice address
1708 Park St Ste 130
Alameda, CA 94501-1998
Phone
(510) 769-0125
NPI assigned
Sep 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC36162 CA Primary

Addresses

Primary practice location

1708 Park St Ste 130
Alameda, CA 94501-1998

Mailing address

1708 Park St Ste 130
Alameda, CA 94501-1998
Phone (510) 769-0125

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211029000843 CA Practitioner - Chiropractic 3476941162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boyd Chiropractic IncGroup PAC ID 7618137126, 3 clinicians

Practice addresses (Care Compare)

1708 Park St
Suite 130
Alameda, CA 94501-1416
Phone (510) 769-0125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC36162CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Boyd Chiropractic, Inc Chiropractor CurrentSince Nov 1, 2021 Accepting new patients
Carolyn Finnegan Chiropractic Corporation Align Chiropractic Center Chiropractor CurrentSince Nov 1, 2021 Accepting new patients

Locations

1708 Park St
Ste 130
Alameda, CA 94501
Phone (510) 205-2305

6239 College Ave
Ste 201
Oakland, CA 94618
Phone (510) 654-2207

Organizations & group practices 2

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": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1346910833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 PARK ST STE 130",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011998",
            "telephone_number": "510-769-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 PARK ST STE 130",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011998",
            "telephone_number": "510-769-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHA",
        "first_name": "ALEX",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.

Verify at the official NPI Registry.