Active NPI
Ted Nabewari, D.C.
- Chiropractor
- San Pedro, CA
National Provider Identifier
1114153558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 31243
- Practice address
- 643 S Butte St
San Pedro, CA 90732-3510 - Phone
- (310) 831-5700
- NPI assigned
- May 29, 2009
- 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 | 31243 | CA | Primary |
Addresses
Primary practice location
643 S Butte St
San Pedro, CA 90732-3510
Mailing address
222 S Central Ave
140
Los Angeles, CA 90012-4229
Phone (213) 284-9888
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 |
|---|---|---|---|
| 31243 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243555200000",
"number": "1114153558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 S CENTRAL AVE",
"address_2": "140",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900124229",
"telephone_number": "213-284-9888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "643 S BUTTE ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907323510",
"telephone_number": "310-831-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NABEWARI",
"first_name": "TED",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-29",
"last_updated": "2009-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "31243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Pedro, CA
- Bryce Hart Moulton, 14303-RAC
- Aishah Rashidah Muhammad-Flissinger, OTD, OTR/L
- Multicare Medical Center Corp (Multicare Medical Center)
- Lakisha Mumford
- Claudia Murillo, CADC II, SAP
- Najafi Medical Group
- Erika Nakamura Gomez, D.D.S.
- Julie Nakamura, IDHS
- Namita Sharan MFT (San Pedro Healing Arts Medical Clinic)
- Naoki Kamoshida DC Lac
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.