Active NPI
Kien T Ta, D.C.
- Chiropractor
- San Diego, CA
National Provider Identifier
1518022599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 23384
- Practice address
- 3902 El Cajon Blvd
Suite #B
San Diego, CA 92105-1023 - Phone
- (619) 283-6615
- Fax
- (619) 283-5772
- NPI assigned
- Dec 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 23384 | CA | Primary |
Addresses
Primary practice location
3902 El Cajon Blvd
Suite #B
San Diego, CA 92105-1023
Mailing address
3902 El Cajon Blvd, Suite #B
San Diego, CA 92105
Phone (619) 283-6615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kien Ta Chiropractic Inc | Chiropractor | Current | Accepting new patients |
Locations
3902 El Cajon Blvd
Ste B
San Diego, CA 92105
Phone (619) 283-6615
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518022599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3902 EL CAJON BLVD, SUITE #B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92105",
"telephone_number": "619-283-6615",
"fax_number": "619-283-5772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3902 EL CAJON BLVD",
"address_2": "SUITE #B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921051023",
"telephone_number": "619-283-6615",
"fax_number": "619-283-5772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TA",
"first_name": "KIEN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "23384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.