DR. JON MARK KAKLEAS (NPI# 1184841728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184841728 |
| Entity Type | Individual |
| Full Name | DR. JON MARK KAKLEAS |
| Credential | D.C., P.T. |
| Practice Address |
4380 Redwood Hwy Ste B6 San Rafael CA 94903-2110 |
| Mailing Address |
4380 Redwood Highway, Ste. B-6 San Rafael CA 94903 |
| Practice Telephone | 4154998469 |
| Practice Fax Number | 4154998645 |
| Mailing Telephone | 4154998469 |
| Mailing Fax Number | 4154998645 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 111N00000X | Chiropractor | DC 23537 | CA | Chiropractic Providers |
| X | 225100000X | Physical Therapist | PT 109380 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4380 REDWOOD HWY STE B6 |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124031679 | Charles Zollner | Chiropractor | 4380 Redwood Hwy Ste B6, San Rafael, CA 94903-2110 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821568551 | Will J Lee | Chiropractor | 920 Northgate Dr Ste 9, San Rafael, CA 94903-3429 | 2018-11-26 |
| 1801376868 | Debra Harraka | Chiropractor | 750 Las Gallinas Ave Ste 202, San Rafael, CA 94903-3432 | 2018-08-20 |
| 1740656982 | John Zeravich | Chiropractor | 336 Ellen Dr, San Rafael, CA 94903-1605 | 2015-08-11 |
| 1336548908 | Georgina Patterson | Chiropractor | 4460 Redwood Hwy, Suite 16-223, San Rafael, CA 94903-1951 | 2014-08-19 |
| 1679836886 | Elena Vince D C A Chiropractic Corp | Chiropractor | 361 3rd St Ste D, San Rafael, CA 94901-3580 | 2012-06-21 |
| 1508154972 | Paulette Cass | Chiropractor | 88 Belvedere St Ste 208, San Rafael, CA 94901-7202 | 2011-07-19 |
| 1285875849 | Derik Anderson | Chiropractor | 10 G St, San Rafael, CA 94901-2723 | 2009-03-11 |
| 1215189410 | Michael Perry Joseph | Chiropractor | 55 Mitchell Blvd, Ste 10, San Rafael, CA 94903-2010 | 2008-10-21 |
| 1881872943 | Barbara Jeanne Weldon | Chiropractor | 700 E Street, Suite 100, San Rafael, CA 94901 | 2008-01-31 |
| 1174724660 | Latifa Lorena Rainbow | Chiropractor | 12 Lochness Ln, San Rafael, CA 94901-2425 | 2007-05-30 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
Please comment or provide details below to improve the information on DR. JON MARK KAKLEAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.