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

Q: 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.

Q: What is Jon Kakleas's specialty?

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

Q: 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 13 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.

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: October 25, 2026.

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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

Phone(415) 499-8469

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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignment

Medicare enrollment records show Jon Kakleas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kakleas Chiropractic, Inc.

Same address

Physical Therapist

4380 REDWOOD HWY, SUITE B6
San Rafael, CA 94903

Reassigned Medicare billing, California enrollment
2 clinicians in this Medicare group

NPI 1528227832 (415) 499-8469

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

CHARLES ZOLLNER D.C.

Chiropractor (Sports Physician)

4380 REDWOOD HWY STE B6
SAN RAFAEL, CA 94903

Marin County (415) 747-8980

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.

Which organization bills Medicare for Jon Kakleas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jon Kakleas reassigns Medicare benefits to Kakleas Chiropractic, Inc. (San Rafael, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jon Kakleas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 13 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.