Organization Active NPI

Heike Klima Chiropractic, Inc

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1396109674
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26967 Issued in CA
Legal business name
HEIKE KLIMA CHIROPRACTIC, INC
Practice address
11199 Sorrento Valley Rd
201
San Diego, CA 92121-1334
Phone
(858) 768-6111
Fax
(858) 768-6116
NPI assigned
Apr 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

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

Authorized official

Name
Julie Jacobson
Title
Manager
Phone
(858) 768-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC26967 CA Primary

Addresses

Primary practice location

11199 Sorrento Valley Rd
201
San Diego, CA 92121-1334

Mailing address

11199 Sorrento Valley Rd
201
San Diego, CA 92121-1334
Phone (858) 768-6111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160818000789 CA Part B Supplier - Clinic/Group Practice 3678868494 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1396109674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11199 SORRENTO VALLEY RD",
            "address_2": "201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211334",
            "telephone_number": "858-768-6111",
            "fax_number": "858-768-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11199 SORRENTO VALLEY RD",
            "address_2": "201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211334",
            "telephone_number": "858-768-6111",
            "fax_number": "858-768-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIKE KLIMA CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "858-768-6111"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.