Active NPI
Adam Mazzeo, DC
- Chiropractor
- Sherman Oaks, CA
National Provider Identifier
1104216670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33166
- Practice address
- 14319 Addison St Unit 1
Sherman Oaks, CA 91423-1848 - Phone
- (818) 456-3318
- NPI assigned
- Feb 4, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 33166 | CA | Primary |
Addresses
Primary practice location
14319 Addison St Unit 1
Sherman Oaks, CA 91423-1848
Mailing address
14319 Addison St Unit 1
Sherman Oaks, CA 91423-1848
Phone (818) 456-3318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33166 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westlake Sports Physical Therapy Inc | Past | Accepting new patients | |
| Body Logic Chiropractic | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Chiropractor
- Westlake Village, CA
- NPI 1194992743
-
- Orthopedic Physical Therapist
- Westlake Village, CA
- NPI 1023153236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1104216670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14319 ADDISON ST UNIT 1",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914231848",
"telephone_number": "818-456-3318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14319 ADDISON ST UNIT 1",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914231848",
"telephone_number": "818-456-3318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZEO",
"first_name": "ADAM",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-04",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.