Individual provider Active NPI

Kim Makoi, D.C.

  • Chiropractor
  • San Francisco, CA
National Provider Identifier
1376641332
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 25549 Issued in CA
Practice address
459 Fulton St Ste 105
San Francisco, CA 94102-4364
Phone
(415) 864-2975
Fax
(415) 707-2011
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 25549 CA Primary

Addresses

Primary practice location

459 Fulton St Ste 105
San Francisco, CA 94102-4364

Mailing address

601 Van Ness Ave Apt 52
San Francisco, CA 94102-3263
Phone (415) 864-2975

Other practice location 1

1030 Sonoma Ave
Sacramento, CA 95815-1242
Phone (916) 779-4613

Other identifiers 1

IdentifierTypeStateIssuer
DC0255490MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 25549CAMDChiropractor
25549CAMDLicensed Psychiatric Technician

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1376641332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 VAN NESS AVE APT 52",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023263",
            "telephone_number": "415-864-2975",
            "fax_number": "415-707-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 FULTON ST STE 105",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024364",
            "telephone_number": "415-864-2975",
            "fax_number": "415-707-2011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 Sonoma Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958151242",
            "country_code": "US",
            "telephone_number": "916-779-4613",
            "fax_number": "415-707-2011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKOI",
        "first_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 25549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0255490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.