Organization Active NPI

Jeffrey Katz Chiropractic Inc

Doing business as Katz Accident and Injury Center

  • Chiropractor
  • San Francisco, CA
National Provider Identifier
1487675476
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27496 Issued in CA
Legal business name
JEFFREY KATZ CHIROPRACTIC INC
Doing business as
Katz Accident and Injury Center
Practice address
4879 Mission St
San Francisco, CA 94112
Phone
(415) 584-3042
Fax
(415) 584-3052
NPI assigned
Jul 22, 2006
Last updated
Nov 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Dr. Catherine Nghiem-Shum, DC LAC QMENPI 1861413858
Title
Acupuncturist Chiropractor
Phone
(415) 584-3042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC27496 CA Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC14657 CA
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC8015 CA

Addresses

Primary practice location

4879 Mission St
San Francisco, CA 94112

Mailing address

4879 Mission St
San Francisco, CA 94112
Phone (415) 584-3042

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ29393ZOtherCAMEDICARE PTAN

Other names 1

  • Katz Accident and Injury Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040622001129 CA Part B Supplier - Clinic/Group Practice 4789669821 Receives reassigned benefits from 2 practitioners
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1487675476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4879 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94112",
            "telephone_number": "415-584-3042",
            "fax_number": "415-584-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4879 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94112",
            "telephone_number": "415-584-3042",
            "fax_number": "415-584-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY KATZ CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "NGHIEM-SHUM",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "ACUPUNCTURIST CHIROPRACTOR",
        "authorized_official_telephone_number": "415-584-3042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC LAC QME"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27496",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC14657",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC8015",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ZZZ29393Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Katz Accident and Injury Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.