DR. JON MARK KAKLEAS D.C. P.T. NPI 1184841728

NPI Information

  • NPI: 1184841728
  • Provider Name: DR. JON MARK KAKLEAS, D.C., P.T.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 4380 REDWOOD HWY STE B6
    SAN RAFAEL, CA
    ZIP 94903
  • Phone: (415) 499-8469

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NPI Details

DR. Jon Mark Kakleas, D.C., P.T. is a chiropractor in San Rafael, CA with 44 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Jon Mark Kakleas, D.C., P.T. NPI is 1184841728. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4380 REDWOOD HWY STE B6
SAN RAFAEL, CA
ZIP 94903-110
Phone: (415) 499-8469
Fax: (415) 499-8645

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chiropractic manipulative treatment, 1-2 spinal regions (HCPCS:98940)

The enumeration date for this NPI number is 4/18/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorDC 23537CALIFORNIAYes
2225100000XPhysical TherapistPT 109380CALIFORNIAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1OPT 109380MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAPHYSICAL THERAPIST
2DC 023537MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIACHIROPRACTOR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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