Active NPI
Jonathan Kim DC Apc
- Chiropractor
- Riverside, CA
National Provider Identifier
1811276744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC27995
- Legal business name
- JONATHAN KIM DC APC
- Practice address
- 10600 Magnolia Ave Ste D
Riverside, CA 92505-1819 - Phone
- (213) 272-3480
- NPI assigned
- Aug 9, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jonathan Yonghwan Kim, D.C.
- Title
- President
- Phone
- (213) 272-3480
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC27995 | CA | Primary |
Addresses
Primary practice location
10600 Magnolia Ave Ste D
Riverside, CA 92505-1819
Mailing address
3545 Wilshire Blvd Ste 203
Los Angeles, CA 90010-2378
Phone (213) 272-3480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC27995 | Other | CA | BOARD OF CHIROPRACTIC EXAMINER |
National Provider Directory
National Provider Directory- Tax ID family
- Barun Disc Clinic
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Los Angeles, CA
- NPI 1346429560
-
- Chiropractor
- Norwalk, CA
- NPI 1184713653
Locations
10600 Magnolia Ave
Ste D
Riverside, CA 92505
Phone (213) 272-3480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312848000000",
"number": "1811276744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 WILSHIRE BLVD STE 203",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900102378",
"telephone_number": "213-272-3480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10600 MAGNOLIA AVE STE D",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925051819",
"telephone_number": "213-272-3480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONATHAN KIM DC APC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-09",
"last_updated": "2011-08-09",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "YONGHWAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "213-272-3480",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC27995",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CHIROPRACTIC EXAMINER",
"identifier": "DC27995",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.