Individual provider Active NPI

Kimberly S Sahagun, D.C.

  • Chiropractor
  • Yorba Linda, CA
National Provider Identifier
1952336802
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29866 Issued in CA
Practice address
22224 La Palma Ave
A
Yorba Linda, CA 92887-3819
Phone
(714) 692-7138
Fax
(714) 696-7767
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29866 CA Primary

Addresses

Primary practice location

22224 La Palma Ave
A
Yorba Linda, CA 92887-3819

Mailing address

22224 La Palma Ave
A
Yorba Linda, CA 92887-3819
Phone (714) 692-7138

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC29866CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1952336802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22224 LA PALMA AVE",
            "address_2": "A",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873819",
            "telephone_number": "714-692-7138",
            "fax_number": "714-696-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22224 LA PALMA AVE",
            "address_2": "A",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873819",
            "telephone_number": "714-692-7138",
            "fax_number": "714-696-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHAGUN",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.