Active NPI
Ka Bo Janis Luk, D.C.
- Chiropractor
- Rosemead, CA
National Provider Identifier
1952534653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 31375
- Practice address
- 2630 San Gabriel Blvd
Suite 200
Rosemead, CA 91770-5204 - Phone
- (626) 280-9968
- Fax
- (877) 400-0565
- NPI assigned
- Aug 27, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 31375 | CA | Primary |
Addresses
Primary practice location
2630 San Gabriel Blvd
Suite 200
Rosemead, CA 91770-5204
Mailing address
2630 San Gabriel Blvd
Suite 200
Rosemead, CA 91770-5204
Phone (626) 280-9968
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D9149703 | Other | CA | DRIVER LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31375 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251331200000",
"number": "1952534653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2630 SAN GABRIEL BLVD",
"address_2": "SUITE 200",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917705204",
"telephone_number": "626-280-9968",
"fax_number": "877-400-0565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 SAN GABRIEL BLVD",
"address_2": "SUITE 200",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917705204",
"telephone_number": "626-280-9968",
"fax_number": "877-400-0565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUK",
"first_name": "KA BO",
"middle_name": "JANIS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-27",
"last_updated": "2009-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "31375",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "D9149703",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rosemead, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.