Individual provider Active NPI

Taisuke Jo, DC

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1841445285
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
25147 Issued in CA
Practice address
2001 S Barrington Ave Ste 219
Los Angeles, CA 90025-5385
Phone
(310) 445-9597
NPI assigned
Nov 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 25147 CA Primary

Addresses

Primary practice location

2001 S Barrington Ave Ste 219
Los Angeles, CA 90025-5385

Mailing address

11340 W Olympic Blvd Ste 206
Los Angeles, CA 90064-1612
Phone (310) 445-9597

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

State licenses

LicenseStateTypeSpecialty
25147CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jo Chiropractic Corporation Current Accepting new patients

Locations

2001 S Barrington Ave
Ste 219
Los Angeles, CA 90025
Phone (310) 445-9597

11340 W Olympic Blvd
Ste 206
Los Angeles, CA 90064

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": "1227657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1841445285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11340 W OLYMPIC BLVD STE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641612",
            "telephone_number": "310-445-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S BARRINGTON AVE STE 219",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255385",
            "telephone_number": "310-445-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JO",
        "first_name": "TAISUKE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-26",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "25147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.