Active NPI
Behrooz Samouha, DC
- Chiropractor
- Inglewood, CA
National Provider Identifier
1265620298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 24261
- Practice address
- 101 N la Brea Ave
101
Inglewood, CA 90301-1769 - Phone
- (310) 674-1565
- NPI assigned
- Oct 3, 2007
- 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 | 24261 | CA | Primary |
Addresses
Primary practice location
101 N la Brea Ave
101
Inglewood, CA 90301-1769
Mailing address
17750 Sherman Way
100
Reseda, CA 91335-3380
Phone (818) 705-7200
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24261 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choice Providers Medical Group Inc | Chiropractor | Past | Accepting new patients |
| Heritage Orthopedic & Industrial Medicine Multi-Specialty Group, Inc. | 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.
-
- Orthopedic Chiropractor
- Inglewood, CA
- NPI 1194965640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272931200000",
"number": "1265620298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17750 SHERMAN WAY",
"address_2": "100",
"city": "RESEDA",
"state": "CA",
"postal_code": "913353380",
"telephone_number": "818-705-7200",
"fax_number": "818-343-0805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N LA BREA AVE",
"address_2": "101",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903011769",
"telephone_number": "310-674-1565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMOUHA",
"first_name": "BEHROOZ",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-03",
"last_updated": "2010-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "24261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.