DR. JON MARK KAKLEAS D.C., P.T.
NPI 1184841728
Chiropractor in San Rafael, CA

Active since April 18, 2007
4380 REDWOOD HWY STE B6, SAN RAFAEL, CA 94903(415) 499-8469(415) 499-8645 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jon Mark Kakleas D.c., P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JON MARK KAKLEAS D.C., P.T. (NPI 1184841728) is an individual chiropractor in San Rafael, California, licensed in California (DC 23537) and active in the NPI registry since April 2007. He is a graduate of Other (1981).

NPPES Registry Identity

NPI1184841728
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JON MARK KAKLEASCredential: D.C., P.T.
Location Address4380 REDWOOD HWY STE B6San Rafael, CA 94903-2110
Mailing Address4380 Redwood Highway, Ste. B-6San Rafael, CA 94903 · (415) 499-8469 · Fax (415) 499-8645
Fax(415) 499-8645
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateApril 18, 2007
Last NPPES UpdateSeptember 11, 2025
NPI 1184841728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in CA · DC 23537
Definition
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.
Also ListedPhysical TherapistTaxonomy 225100000X · License PT 109380 (CA)
4380 REDWOOD HWY STE B6, San Rafael, CA 94903

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jon Mark Kakleas D.c., P.t. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971578683
PECOS Enrollment IDI20131205000308

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor (Sports Physician)
4380 REDWOOD HWY STE B6
SAN RAFAEL, CA 94903

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jon Kakleas's NPI number?

The NPI number for Jon Kakleas is 1184841728. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Jon Kakleas located?

Jon Kakleas practices at 4380 Redwood Hwy Ste B6, San Rafael, CA 94903. The listed phone number is (415) 499-8469.

What is Jon Kakleas's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jon Kakleas enrolled in Medicare?

Yes. Jon Kakleas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jon Kakleas was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.