Individual provider Active NPI

David Kuo, D.C.

  • Chiropractor
  • Rosemead, CA
National Provider Identifier
1477514701
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29998 Issued in CA
Practice address
2630 San Gabriel Blvd # 200
Rosemead, CA 91770-5204
Phone
(626) 280-9968
Fax
(877) 400-0565
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29998 CA Primary

Addresses

Primary practice location

2630 San Gabriel Blvd # 200
Rosemead, CA 91770-5204

Mailing address

2630 San Gabriel Blvd # 200
Rosemead, CA 91770-5204
Phone (626) 280-9968

Other identifiers 1

IdentifierTypeStateIssuer
DC29998OtherCASTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070403000564 CA Practitioner - Chiropractic 9234233073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kuo Chiropractic Pain Care IncGroup PAC ID 1557680261, 2 clinicians

Practice addresses (Care Compare)

909 S Garfield Ave
Alhambra, CA 91801-4442
Phone (626) 872-2030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DC29998CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hsieh & Hsieh Chiropractic Inc. Chiropractor Current Accepting new patients

Locations

2630 San Gabriel Blvd
Ste 200
Rosemead, CA 91770
Phone (626) 280-9968

Organizations & group practices 2

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1477514701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 SAN GABRIEL BLVD # 200",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917705204",
            "telephone_number": "626-280-9968",
            "fax_number": "877-400-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 SAN GABRIEL BLVD # 200",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917705204",
            "telephone_number": "626-280-9968",
            "fax_number": "877-400-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUO",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DC29998",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.