Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ki Tae Kim, DC

Individual provider Chiropractor · NPI 1629106117

Dr. Ki Tae Kim, DC is a Chiropractic in San Jose, California. Graduated from Palmer College Chiropractic - West Sunnyvale in 2002, 24 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
24
Trained at
Palmer College Chiropractic - West Sunnyvale
Licensed in
CA
In the registry since
2007
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

206 N Bascom Ave Ste A
San Jose, CA 95128-1866
Phone: (408) 975-9606
Fax: (408) 975-9616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence DC27786 (CA)

Record details

NPI number1629106117
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedFebruary 28, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolPALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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