Organization Active NPI

Kromas Chiropractic, Inc

  • Chiropractor
  • San Pedro, CA
National Provider Identifier
1992885115
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC17731 Issued in CA
Legal business name
KROMAS CHIROPRACTIC, INC
Practice address
302 W 5TH St
Suite 101
San Pedro, CA 90731-2738
Phone
(310) 832-5818
Fax
(310) 832-7236
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Dr. Kim Demmar Kromas, D.C.NPI 1003082900
Title
Ceo
Phone
(310) 832-5818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC17731 CA Primary

Addresses

Primary practice location

302 W 5TH St
Suite 101
San Pedro, CA 90731-2738

Mailing address

302 W 5TH St
Suite 101
San Pedro, CA 90731-2738
Phone (310) 832-5818

Other identifiers 1

IdentifierTypeStateIssuer
54220DC0177310OtherCABLUE SHIELD

Other names 1

  • SAN PEDRO HEALTH CENTER Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1992885115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W 5TH ST",
            "address_2": "SUITE 101",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312738",
            "telephone_number": "310-832-5818",
            "fax_number": "310-832-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W 5TH ST",
            "address_2": "SUITE 101",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312738",
            "telephone_number": "310-832-5818",
            "fax_number": "310-832-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROMAS CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "KROMAS",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "DEMMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-832-5818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC17731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "54220DC0177310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN PEDRO HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.