DR. KHALEED SAMUELS (NPI# 1265821672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265821672 |
| Entity Type | Individual |
| Full Name | DR. KHALEED SAMUELS |
| Credential | D.C. C.C.S.P |
| Practice Address |
1423 W 8th St San Pedro CA 90732-3803 |
| Mailing Address |
28000 S Western Ave Unit 227 San Pedro CA 90732-1204 |
| Practice Telephone | 3106841807 |
| Practice Fax Number | 3106841607 |
| Mailing Telephone | 3106841807 |
| Mailing Fax Number | 3106841607 |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2019-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | DC33008 | CA | Chiropractic Providers |
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
DC33008 | CA | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22926 Hawthorne Blvd, Torrance, CA 905053618 | 3103732800 |
| Street Address |
1423 W 8TH ST |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90732-3803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326208877 | Nova Medical Center | Specialist | 1423 W 8th St, San Pedro, CA 90732-3803 | 2008-06-09 |
| 1154634228 | Nova Medical Center, A Professional Corporation | Non-Pharmacy Dispensing Site | 1423 W 8th St, San Pedro, CA 90732-3803 | 2010-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771241 | Alicia Avila | Student in an Organized Health Care Education/Training Program | 2227 Blue Butterfly Way, #7, San Pedro, CA 90732 | 2020-08-24 |
| 1619500543 | Udana Harris | Registered Nurse | 1300 West 7th Street, Obhc Unit, San Pedro, CA 90732 | 2020-02-19 |
| 1861042301 | Patricia Elaine Moses | Technician | 106 N. Western Ave Unit 102, San Pedro, CA 90732 | 2019-09-17 |
| 1629627393 | Antonio Ramon Martinez | Technician | 3141 Blue Butterfly Unit 66, San Pedro, CA 90732 | 2019-09-05 |
| 1487207700 | Victoria A. Shook, D.d.s., A Professional Corp. | Dentist | 28138 S. Western Ave., San Pedro, CA 90732 | 2019-07-17 |
| 1144566563 | Shaun E Chandran M D Inc | Orthopaedic Surgery | 1360 W 6th Street, Suite 305, San Pedro, CA 90732 | 2012-12-13 |
| 1316281280 | Jenny Luong | Physician Assistant | 1534 W. 25th St, San Pedro, CA 90732 | 2012-11-16 |
| 1033429519 | Eric M Feit Dpm Inc | Podiatrist | 1360 West 6th St., Suite 240, San Pedro, CA 90732 | 2010-10-18 |
| 1386808673 | Meysam Zaker | Dentist | 2470 S. Western Ave, San Pedro, Ca, CA 90732 | 2008-07-15 |
| 1376735340 | Francisco J. Correa, M.d., Inc | General Practice | 1350 W. 6th St, #3, San Pedro, CA 90732 | 2007-08-14 |
| Find all providers in zip 90732 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| 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. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093249914 | Philips San Pedro Chiropractic | Chiropractor | 505 South Pacific Avenue, Suite 104, San Pedro, CA 90731-2682 | 2017-04-18 |
| 1891234829 | Raymond Joe Philips | Chiropractor | 505 S Pacific Ave, Ste 104, San Pedro, CA 90731-2656 | 2017-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707199 | Pacific Integrative Medical Group Inc | Chiropractor | 2232 Santa Monica Blvd # 101, Santa Monica, CA 90404-2312 | 2020-07-22 |
| 1497394779 | Beavers Better Health Chiropractic, Inc. | Chiropractor | 5707 Marconi Ave Ste D, Carmichael, CA 95608-4471 | 2020-01-03 |
| 1932758679 | Johnnie C Morgan Iv | Chiropractor | 30423 Canwood St Ste 128, Agoura Hills, CA 91301-4314 | 2019-09-05 |
| 1386291920 | Ar'neka Montford | Chiropractor | 7109 Cardenas Way, Sacramento, CA 95828-3935 | 2019-08-19 |
| 1811459738 | Garrett Neill | Chiropractor | 4299 Macarthur Blvd Ste 102, Newport Beach, CA 92660-2019 | 2019-04-01 |
| 1952869661 | Pelofsky Sports Chiropractic | Chiropractor | 700 Wilshire Blvd Ste 510, Los Angeles, CA 90017-3863 | 2019-03-12 |
| 1790252963 | Andrew Winthrop | Chiropractor | 400 Continental Blvd Ste 6070, El Segundo, CA 90245-5076 | 2018-10-25 |
| 1497233522 | Pure Sports Medical Corporation | Chiropractor | 4300 Tradewinds Dr Ste 300, Oxnard, CA 93035-1458 | 2018-07-31 |
| 1548751951 | Jeffrey Christopher Abreu | Chiropractor | 1451 66th St, Emeryville, CA 94608-1004 | 2018-05-21 |
| 1093206641 | Ulberg Healing Choices & Chiropractic, Inc | Chiropractor | 901 Greenwich Dr, Thousand Oaks, CA 91360-6022 | 2018-05-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.