DR. KEN LOUIS CASSORLA D,C.
NPI 1194878561
Chiropractor - Sports Physician in Santa Cruz, CA

Q: What is Ken Cassorla's NPI number?

The NPI number for Ken Cassorla is 1194878561. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Q: What is Ken Cassorla's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Q: When was this NPI record last updated?

The NPPES record for Ken Cassorla 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.

Active since January 19, 2007Accepts Medicare Assignment

3811 PORTOLA DR, SANTA CRUZ, CA 95062(831) 462-3400(831) 475-1122 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Ken Louis Cassorla D,c. NPPES

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

DR. KEN LOUIS CASSORLA D,C. (NPI 1194878561) is an individual sports physician in Santa Cruz, California, licensed in California (13971) and active in the NPI registry since January 2007. He is a graduate of Los Angeles College Of Chiropractic (1980).

NPPES Registry Identity

NPI1194878561

Entity TypeIndividualMale

Primary Taxonomy111NS0005X

Provider Legal NameDR. KEN LOUIS CASSORLACredential: D,C.

Location Address3811 PORTOLA DRSanta Cruz, CA 95062-5232

Mailing Address940 Willow HtsAptos, CA 95003-9592 · (831) 684-1688 · Fax (831) 684-9331

Phone(831) 462-3400

Fax(831) 475-1122

Sole ProprietorNo

Medical School CMSLos Angeles College Of ChiropracticGraduated 1980

Enumeration DateJanuary 19, 2007

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1194878561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in CA · 13971

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

Also ListedChiropractorTaxonomy 111N00000X · License 13971 (CA)

3811 PORTOLA DR, Santa Cruz, CA 95062

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ken Louis Cassorla D,c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305870726

PECOS Enrollment IDI20050923000920

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

473 services54 patients

Other Providers at the Same Location NPPES 11

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

DR. JOHN KENT HOROWITZ D.C.

Chiropractor