Active NPI
Stanley Kim Oh, DC
- Chiropractor
- Riverside, CA
National Provider Identifier
1356325823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC25483
- Practice address
- 6405 Day St
Riverside, CA 92507-0901 - Phone
- (951) 697-5572
- Fax
- (951) 697-5579
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- Sole proprietor
- No
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 | DC25483 | CA | Primary |
Addresses
Primary practice location
6405 Day St
Riverside, CA 92507-0901
Mailing address
6405 Day St
Riverside, CA 92507-0901
Phone (951) 697-5572
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ92058Z | Other | GROUP SITE LOCATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6405 Day St
Riverside, CA 92507-0901
Phone (951) 697-5556
7117 Brockton Ave
Riverside, CA 92506-2658
Phone (951) 683-6370
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Medical Clinic, Inc | Current | Accepting new patients | |
| Riverside Medical Clinic, Inc | Current | Accepting new patients | |
| Riverside Medical Clinic, Inc | Chiropractor | Current | Accepting new patients |
Locations
6405 Day St
Riverside, CA 92507
Phone (909) 683-6370
3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Dermatology Physician
- Riverside, CA
- NPI 1720183403
-
- Family Medicine Physician
- Riverside, CA
- NPI 1639274319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1356325823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6405 DAY ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925070901",
"telephone_number": "951-697-5572",
"fax_number": "951-697-5578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6405 DAY ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925070901",
"telephone_number": "951-697-5572",
"fax_number": "951-697-5579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OH",
"first_name": "STANLEY",
"middle_name": "KIM",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC25483",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP SITE LOCATION",
"identifier": "ZZZ92058Z",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.