Individual provider Active NPI

Kenneth A Thomas, D.C.

  • Sports Physician Chiropractor
  • Pacifica, CA
National Provider Identifier
1659361350
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
21822 Issued in CA
Practice address
320 Eureka SQ
Pacifica, CA 94044-2652
Phone
(650) 738-2225
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 21822 CA
Chiropractor 111N00000X 21822 CA
Sports Physician Chiropractor 111NS0005X 21822 CA Primary

Addresses

Primary practice location

320 Eureka SQ
Pacifica, CA 94044-2652

Mailing address

320 Eureka SQ
Pacifica, CA 94044-2652
Phone (650) 738-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070629000292 CA Practitioner - Chiropractic 3678672771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Kenneth a Thomas Chiropractic IncGroup PAC ID 9032218136, 2 clinicians

Practice addresses (Care Compare)

320 Eureka SQ
Pacifica, CA 94044-2652
Phone (650) 738-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21822CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth a Thomas Chiropractic Inc. Neurology CurrentSince Apr 15, 1993 Accepting new patients

Locations

320 Eureka Sq
Pacifica, CA 94044
Phone (650) 738-2225

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1659361350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 EUREKA SQ",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940442652",
            "telephone_number": "650-738-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 EUREKA SQ",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940442652",
            "telephone_number": "650-738-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KENNETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "CA",
            "license": "21822",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "21822",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "21822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacifica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.