Active NPI
Kevin Kuwabara
- Orthopedic Chiropractor
- Fullerton, CA
National Provider Identifier
1386645067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- DC 20273
- Practice address
- 100 E Valencia Mesa Dr
Suite 105
Fullerton, CA 92835-3813 - Phone
- (714) 446-5200
- NPI assigned
- Aug 3, 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 |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | DC 20273 | CA | Primary |
Addresses
Primary practice location
100 E Valencia Mesa Dr
Suite 105
Fullerton, CA 92835-3813
Mailing address
279 Imperial Hwy
Suite 730
Fullerton, CA 92835-1041
Phone (714) 449-4842
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041008001385 | CA | Practitioner - Chiropractic | 5991764490 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 20273 | CA | MD | Orthopedic Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1386645067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 IMPERIAL HWY",
"address_2": "SUITE 730",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928351041",
"telephone_number": "714-449-4842",
"fax_number": "714-449-4816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E VALENCIA MESA DR",
"address_2": "SUITE 105",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353813",
"telephone_number": "714-446-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUWABARA",
"first_name": "KEVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "CA",
"license": "DC 20273",
"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 Jul 13, 2026; 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.