Organization Active NPI

Jonathan Kim DC Apc

  • Chiropractor
  • Riverside, CA
National Provider Identifier
1811276744
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27995 Issued in CA
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

Updated by the provider on Aug 9, 2011

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
DC27995OtherCABOARD OF CHIROPRACTIC EXAMINER

National Provider Directory

National Provider Directory
Tax ID family
Barun Disc Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.