Individual provider Active NPI

Jay Kang

  • Chiropractor
  • Irvine, CA
National Provider Identifier
1447452297
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27457 Issued in CA
Practice address
113 Waterworks Way
115
Irvine, CA 92618-3171
Phone
(949) 727-1772
Fax
(949) 727-1782
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 27457 CA Primary

Addresses

Primary practice location

113 Waterworks Way
115
Irvine, CA 92618-3171

Mailing address

113 Waterworks Way
115
Irvine, CA 92618-3171
Phone (949) 727-1772

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091202000381 CA Practitioner - Chiropractic 4486793536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zen Care Physical Medicine IncGroup PAC ID 7315167392, 2 clinicians

Practice addresses (Care Compare)

113 Waterworks Way
Suite 115
Irvine, CA 92618-3171
Phone (951) 341-6565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27457CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kang Chiropractic Inc. Chiropractor CurrentSince Apr 7, 2012 Accepting new patients
Kang Chiropractic Inc. Chiropractor CurrentSince Jul 1, 2010 Accepting new patients
Zen Care Chiropractic Wellness Center Past Accepting new patients
Zen Care Chiropractic Wellness Center Past Accepting new patients

Locations

6612 Irvine Center Dr
Irvine, CA 92618
Phone (949) 727-1772

113 Waterworks Way
Ste 115
Irvine, CA 92618
Phone (949) 727-1772

6700 Indiana Ave
Ste 100
Riverside, CA 92506
Phone (951) 341-6565

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1447452297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WATERWORKS WAY",
            "address_2": "115",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183171",
            "telephone_number": "949-727-1772",
            "fax_number": "949-727-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WATERWORKS WAY",
            "address_2": "115",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183171",
            "telephone_number": "949-727-1772",
            "fax_number": "949-727-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "JAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "27457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.