Samuels Chiropractic Health Corporation

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

SAMUELS CHIROPRACTIC HEALTH CORPORATION

Practice address

1423 W 8TH St
San Pedro, CA 90732-3803

Phone

(310) 684-1807

NPI assigned

Aug 12, 2021

Last updated

Oct 5, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Khaleed Samuels, DC, CCSPNPI 1265821672

Title

Chiropractor/Owner

Phone

(310) 684-1807

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Samuels Health Management Corporation Former legal business name

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Khaleed Samuels, D.C. C.C.S.P

  • Sports Physician Chiropractor
  • San Pedro, CA
  • NPI 1265821672
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1083389878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28000 S WESTERN AVE UNIT 227",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907321204",
            "telephone_number": "310-684-1807",
            "fax_number": "310-684-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 W 8TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323803",
            "telephone_number": "310-684-1807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1911 S Catalina Ave",
            "address_purpose": "LOCATION",
            "city": "Redondo Beach",
            "state": "CA",
            "postal_code": "902775515",
            "country_code": "US",
            "telephone_number": "424-304-2040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAMUELS CHIROPRACTIC HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "KHALEED",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "310-684-1807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, CCSP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFICATION",
            "identifier": "1265821672",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083389878",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Khaleedsamuelsdc.com",
            "affiliation": "N",
            "address_1": "1423 W 8th St",
            "city": "San Pedro",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907323803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Samuels Health Management Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Samuels Health Management Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Teresa Saldana
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• Ma Christina Salgado-Cortez
• Amber Rochelle Salvador
• Samuel K Wirtschafter MD Inc
• Khaleed Samuels, D.C. C.C.S.P
• San Miguel Urgent Care San Pedro
• San Pedro Acupuncture Corporation (San Pedro Acupuncture Health Center)
• San Pedro Convalescent Home, Inc. (Los Palos Convalescent Hospital)
• San Pedro Dental

• Sports Physician Chiropractor in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.