Individual provider Active NPI

Saman Shirazi-Nejad, DC

  • Chiropractor
  • West Hollywood, CA
National Provider Identifier
1396137444
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33207 Issued in CA
Practice address
1106 N la Cienega Blvd
Suite 107
West Hollywood, CA 90069-2493
Phone
(323) 432-0014
Fax
(323) 212-6264
NPI assigned
Feb 26, 2015
Last updated
Dec 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33207 CA Primary

Addresses

Primary practice location

1106 N la Cienega Blvd
Suite 107
West Hollywood, CA 90069-2493

Mailing address

1106 N la Cienega Blvd Ste 203
West Hollywood, CA 90069-2493

Other names 1

  • Sam Shirazi Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151230000378 CA Practitioner - Chiropractic 1557662061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1106 N la Cienega Blvd
Suite 203
West Hollywood, CA 90069-2493
Phone (310) 659-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33207CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sam Shirazi Inc Chiropractor Current Accepting new patients
Advanced Spinal Solutions LLC Chiropractor CurrentSince Apr 10, 2023 Accepting new patients
Aligned Healing Solution, Inc. PastSince Aug 14, 2022 Accepting new patients

Locations

1106 N La Cienega Blvd
Ste 203
West Hollywood, CA 90069
Phone (310) 659-1077

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1396137444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 N LA CIENEGA BLVD STE 203",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900692493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N LA CIENEGA BLVD",
            "address_2": "SUITE 107",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900692493",
            "telephone_number": "323-432-0014",
            "fax_number": "323-212-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRAZI-NEJAD",
        "first_name": "SAMAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "SHIRAZI",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.