Kyle Taketa Chiropractic Incorporated

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

KYLE TAKETA CHIROPRACTIC INCORPORATED

Practice address

190 W 25TH Ave Ste 4
San Mateo, CA 94403-2272

Phone

(650) 349-2222

Fax

(650) 341-3415

NPI assigned

Nov 21, 2023

Organization subpart

Yes

Parent organization

KYLE TAKETA CHIROPRACTIC INCORPORATEDAs reported in NPPES

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

Authorized official

Name

Dr. Kyle Hitoshi Taketa, DCNPI 1205180619

Title

Owner

Phone

(650) 349-2222

Specialties & licenses 1

Addresses

Other names 1

• Westside Chiropractic Doing business as

Part of

Kyle Taketa Chiropractic Incorporated

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyle Taketa, DC

  • Chiropractor
  • San Mateo, CA
  • NPI 1205180619
  NPD Authorized official

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1992570774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 W 25TH AVE STE 4",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032272",
            "telephone_number": "650-349-2222",
            "fax_number": "650-341-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W 25TH AVE STE 4",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032272",
            "telephone_number": "650-349-2222",
            "fax_number": "650-341-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE TAKETA CHIROPRACTIC INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KYLE TAKETA CHIROPRACTIC INCORPORATED",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "TAKETA",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "HITOSHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-349-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westside Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Tung Kwok, M.D.
• Peggy Chingin Kwok, MFT
• Seran Kwon
• Ian Amiel Kwong, RN
• Shelly Kwong
• Huy T L, PHARM.D.
• Yvette Jacqueline La Fleur
• Jennifer Hong La, PHARMD
• Netty La
• Christina Laane, M.D.

• Chiropractor in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.