KOSAK CHIROPRACTIC
NPI 1760687271
Chiropractor in Fairfield, CA

Q: What is Jerry Kosak Chiropractic, Inc.'s NPI number?

The NPI number for Jerry Kosak Chiropractic, Inc. is 1760687271. It was assigned to this organization in the NPPES registry on June 15, 2007. The provider is doing business as Kosak Chiropractic.

Q: What is Jerry Kosak Chiropractic, Inc.'s specialty?

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

Active since June 15, 2007

1252 TRAVIS BLVD STE G, FAIRFIELD, CA 94533(707) 426-1111(707) 426-2725 Get Directions Write a Review

NPPES record last updated: August 21, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Kosak Chiropractic NPPES

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

KOSAK CHIROPRACTIC (NPI 1760687271) is a healthcare organization registered as a chiropractor in Fairfield, California and active in the NPI registry since June 2007. The organization lists Sheila M. Perrin, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1760687271

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameJERRY KOSAK CHIROPRACTIC, INC.

Location Address1252 TRAVIS BLVD STE GFairfield, CA 94533-4840

Mailing Address1252 Travis Blvd Ste GFairfield, CA 94533-4840 · (707) 426-1111 · Fax (707) 426-2725

Phone(707) 426-1111

Fax(707) 426-2725

Organization SubpartNo

Authorized OfficialSheila M. PerrinOffice Manager · (707) 426-1111

Enumeration DateJune 15, 2007

Last NPPES UpdateAugust 21, 2019

✔ NPI 1760687271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · DC25538

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.

1252 TRAVIS BLVD STE G, Fairfield, CA 94533

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Other Names 1

Doing Business AsKosak Chiropractic

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kosak Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kosak Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Wilson, D.C., QME

Chiropractic

NPI 1710095740

1252 TRAVIS BLVD SUITE G
Fairfield, CA 94533

(707) 426-1111

✔ Accepts MedicareSame 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 Jerry Kosak Chiropractic, Inc.'s NPI number?

The NPI number for Jerry Kosak Chiropractic, Inc. is 1760687271. It was assigned to this organization in the NPPES registry on June 15, 2007. The provider is doing business as Kosak Chiropractic.

Where is Jerry Kosak Chiropractic, Inc. located?

Jerry Kosak Chiropractic, Inc. is located at 1252 Travis Blvd Ste G, Fairfield, CA 94533. The listed phone number is (707) 426-1111.

What is Jerry Kosak Chiropractic, Inc.'s specialty?

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

Is Jerry Kosak Chiropractic, Inc. enrolled in Medicare?

Yes. Jerry Kosak Chiropractic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jerry Kosak Chiropractic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Jerry Kosak 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 Jerry Kosak Chiropractic, Inc. was last updated on August 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.