Active NPI
Adam Lee Sandahl, D.C.
- Chiropractor
- Long Beach, CA
National Provider Identifier
1346309887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 24587
- Practice address
- 6557 E Pacific Coast Hwy
Long Beach, CA 90803-4202 - Phone
- (562) 430-8501
- Fax
- (562) 430-8591
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 24587 | CA | Primary |
Addresses
Primary practice location
6557 E Pacific Coast Hwy
Long Beach, CA 90803-4202
Mailing address
6557 Bright Ave
Whittier, CA 90601-4504
Phone (562) 698-1515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140801000430 | CA | Practitioner - Chiropractic | 7810113552 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24587 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Mark Kennedy Chiropractic Inc | Past | Accepting new patients | |
| Pchchiro Inc | Chiropractor | 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.
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- Long Beach, CA
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306972800000",
"number": "1346309887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6557 BRIGHT AVE",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906014504",
"telephone_number": "562-698-1515",
"fax_number": "562-698-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6557 E PACIFIC COAST HWY",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908034202",
"telephone_number": "562-430-8501",
"fax_number": "562-430-8591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDAHL",
"first_name": "ADAM",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2011-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "24587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.