Greg Roman Kangleon, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

25216 Issued in CA

Practice address

10706 Marbury Ave
San Diego, CA 92126-2839

Phone

(858) 361-1341

Fax

(619) 374-2984

NPI assigned

Mar 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447376447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10706 MARBURY AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262839",
            "telephone_number": "858-361-1341",
            "fax_number": "619-374-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10706 MARBURY AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262839",
            "telephone_number": "858-361-1341",
            "fax_number": "619-374-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANGLEON",
        "first_name": "GREG",
        "middle_name": "ROMAN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "25216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Kang
• Min Jung Kang
• Suchin Kang, L.ACL
• Natalie Kanga
• Julie Louise Kangas, PH.D.
• Shea Kangleon
• Beatriz Cristina Baranski Kaniak, MD
• Kannamma Kannan, NMD
• Swati Kannan, M.D.
• Amy Kanner

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.