FOUNTAIN SPINE CENTER
NPI 1386879682
Chiropractor in Garden Grove, CA

Q: What is Sean Kim Chiropractic Inc.'s NPI number?

The NPI number for Sean Kim Chiropractic Inc. is 1386879682. It was assigned to this organization in the NPPES registry on May 16, 2009. The provider is doing business as Fountain Spine Center.

Q: What is Sean Kim Chiropractic Inc.'s specialty?

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

Active since May 16, 2009

9240 GARDEN GROVE BLVD STE 2, GARDEN GROVE, CA 92844(714) 610-7575(714) 534-2994 Get Directions Write a Review

NPPES record last updated: July 13, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Fountain Spine Center NPPES

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

FOUNTAIN SPINE CENTER (NPI 1386879682) is a healthcare organization registered as a chiropractor in Garden Grove, California and active in the NPI registry since May 2009. The organization lists Seon Hoon Sean Kim, President, as its authorized official.

NPPES Registry Identity

NPI1386879682

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameSEAN KIM CHIROPRACTIC INC.

Location Address9240 GARDEN GROVE BLVD STE 2Garden Grove, CA 92844-1400

Mailing Address9240 Garden Grove Blvd Ste 2Garden Grove, CA 92844-1400 · (714) 610-7575 · Fax (714) 534-2994

Phone(714) 610-7575

Fax(714) 534-2994

Organization SubpartNo

Authorized OfficialSeon Hoon Sean KimPresident · (714) 610-7575

Enumeration DateMay 16, 2009

Last NPPES UpdateJuly 13, 2012

✔ NPI 1386879682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · DC29494

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.

9240 GARDEN GROVE BLVD STE 2, Garden Grove, CA 92844

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Other Names 1

Doing Business AsFountain Spine Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fountain Spine Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20090723000738Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fountain Spine Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Seon Hoon Kim, D.C.

Chiropractic

NPI 1609822857

9240 GARDEN GROVE BLVD STE 2
Garden Grove, CA 92844

(714) 610-7575

Same address

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

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 Sean Kim Chiropractic Inc.'s NPI number?

The NPI number for Sean Kim Chiropractic Inc. is 1386879682. It was assigned to this organization in the NPPES registry on May 16, 2009. The provider is doing business as Fountain Spine Center.

Where is Sean Kim Chiropractic Inc. located?

Sean Kim Chiropractic Inc. is located at 9240 Garden Grove Blvd Ste 2, Garden Grove, CA 92844. The listed phone number is (714) 610-7575.

What is Sean Kim Chiropractic Inc.'s specialty?

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

Is Sean Kim Chiropractic Inc. enrolled in Medicare?

Yes. Sean Kim Chiropractic Inc. is registered in the Medicare PECOS enrollment system.

When is Sean Kim Chiropractic Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Sean Kim Chiropractic Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Sean Kim Chiropractic Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sean Kim Chiropractic Inc. was last updated on July 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.