Koen P Kallop, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

17218 Issued in CA

Practice address

1309 S Mary Ave Ste 100
Sunnyvale, CA 94087-3053

Phone

(408) 733-0400

NPI assigned

Nov 22, 2006

Sex

Male

Sole proprietor

No

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

Palmer College Chiropractic - West Sunnyvale, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life Chiropractic College WestGroup PAC ID 9234178138, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Life Chiropractic College West

  • Chiropractor
  • Hayward, CA
  • NPI 1376615807
  Medicare reassignment Care Compare group NPD
• Health Now Medical Center, Inc.

  • Physical Therapist
  • Sunnyvale, CA
  • NPI 1073674479

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508931460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10162 ALPINE DR",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950140942",
            "telephone_number": "650-787-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 S MARY AVE STE 100",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873053",
            "telephone_number": "408-733-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLOP",
        "first_name": "KOEN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "17218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hiromi Kagawa
• Seiyu Kageyama, L.AC
• Vadim Kagramanov, MD
• Lavanya Kailas
• Kaiser Permenente Hospital
• Kavita Kamat
• Ruchira Anand Kamat, PT
• Sonia Kamath, MD
• Sheila Vanessa Kamp, OT
• Kimberly Natee Kanada, M.D.

• Chiropractor in Sunnyvale, CA
• Providers in Sunnyvale, 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.