Individual provider Active NPI

Adam Amir, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Palmdale, CA
National Provider Identifier
1407419922
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
20A22390 Issued in CA
Practice address
647 W Avenue Q Ste Ac
Palmdale, CA 93551-3893
Phone
(661) 949-8643
NPI assigned
Apr 19, 2019
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 20A22390 CA Primary

Addresses

Primary practice location

647 W Avenue Q Ste Ac
Palmdale, CA 93551-3893

Mailing address

3600 Fores Avenue, Forbes Tower-Plaza Level Suite 140
Pittsburgh, PA 15213
Phone (412) 692-4528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240827002340 CA Practitioner - Pain Management 6800120163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

647 W Ave Q
Palmdale, CA 93551-3893
Phone (661) 949-8643

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A22390CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Orthopedic Institute Inc CurrentSince Aug 15, 2024 Accepting new patients
Valley Orthopedic Institute Inc CurrentSince Aug 15, 2024 Accepting new patients
Grace University Medical Group Past Accepting new patients
Trias Global, LLC Past Accepting new patients

Locations

647 W Avenue Q
Palmdale, CA 93551
Phone (661) 949-8643

647 W Avenue Q
Ste Ac
Palmdale, CA 93551
Phone (661) 949-8643

1533 N Downs St
Ridgecrest, CA 93555
Phone (760) 446-2900

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1407419922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FORES AVENUE, FORBES TOWER-PLAZA LEVEL SUITE 140",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15213",
            "telephone_number": "412-692-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 W AVENUE Q STE AC",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513893",
            "telephone_number": "661-949-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIR",
        "first_name": "ADAM",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-19",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "20A22390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.