Kowalik Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC24455 Issued in CA

Legal business name

KOWALIK CHIROPRACTIC INC

Practice address

25431 Trabuco Rd
4
Lake Forest, CA 92630-2787

Phone

(949) 380-8883

Fax

(949) 380-1308

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Daryl G Kowalik, D.C.NPI 1528149499

Title

Doctor of Chiropractic

Phone

(949) 380-8883

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• KOWALIK FAMILY CHIROPRACTIC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Daryl G Kowalik, D.C.

  • Chiropractor
  • Lake Forest, CA
  • NPI 1528149499
  Medicare reassignment NPD Authorized official
• Louis Santino Deberardinis, DC

  • Chiropractor
  • Chicago, IL
  • NPI 1265325179
  NPD
• Vincent Joseph Guzaldo, DC

  • Chiropractor
  • Oak Brook, IL
  • NPI 1457136152
  NPD

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1366523243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25431 TRABUCO RD STE 4",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302779",
            "telephone_number": "949-380-8883",
            "fax_number": "949-380-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25431 TRABUCO RD",
            "address_2": "4",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302787",
            "telephone_number": "949-380-8883",
            "fax_number": "949-380-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOWALIK CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2017-08-30",
        "status": "A",
        "authorized_official_last_name": "KOWALIK",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "949-380-8883",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ06836Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KOWALIK FAMILY CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Vanessa Kooh
• Carolyn Kopper, P.T.
• Carolyn Korbel, PH.D.
• Mary M Koumas, D.O.
• Kourosh Rahimpour DDS, PC
• Daryl G Kowalik, D.C.
• Kerri Kratzer
• James Kuechler, M.D.
• Jennifer Ann Kunic, OTR/L
• Mark Kuntz, LCSW

• Chiropractor in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.