Active NPI
Kazumitsu Nakajima, DC
- Chiropractor
- Pasadena, CA
National Provider Identifier
1790872026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC22096
- Practice address
- 3656 E Foothill Blvd
Pasadena, CA 91107-3120 - Phone
- (626) 405-9209
- Fax
- (626) 405-0410
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | DC22096 | CA | Primary |
Addresses
Primary practice location
3656 E Foothill Blvd
Pasadena, CA 91107-3120
Mailing address
3656 E Foothill Blvd
Pasadena, CA 91107-3120
Phone (626) 405-9209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040330001188 | CA | Practitioner - Chiropractic | 9638161813 | Practice locations: Pasadena, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1991
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3656 E Foothill Blvd
Pasadena, CA 91107-3120
Phone (626) 405-9209
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790872026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3656 E FOOTHILL BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073120",
"telephone_number": "626-405-9209",
"fax_number": "626-405-0410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3656 E FOOTHILL BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073120",
"telephone_number": "626-405-9209",
"fax_number": "626-405-0410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKAJIMA",
"first_name": "KAZUMITSU",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC22096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, 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.
- 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.