Organization Active NPI

Samuel G West a Chiropractic Corporation

  • Chiropractor
  • Long Beach, CA
National Provider Identifier
1497951834
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC16967 Issued in CA
Legal business name
SAMUEL G WEST A CHIROPRACTIC CORPORATION
Practice address
5479 E Abbeyfield St
2
Long Beach, CA 90815-3050
Phone
(562) 498-6647
Fax
(562) 986-5677
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Authorized official

Name
Samuel G West, D.C.
Title
Owner / Provider
Phone
(562) 498-6647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC16967 CA Primary

Addresses

Primary practice location

5479 E Abbeyfield St
2
Long Beach, CA 90815-3050

Mailing address

15550 Rockfield Blvd
B220
Irvine, CA 92618-2720
Phone (949) 598-9999

Other identifiers 5

IdentifierTypeStateIssuer
DC0169670OtherCABLUE SHIELD
WDC16967AOtherCAINDIVIDUAL PTAN
DC16967OtherCACHIROPRACTIC LICENSE
W22568OtherCAGROUP PTAN
1285723999OtherCAINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

5479 E Abbeyfield St
Ste 2
Long Beach, CA 90815
Phone (562) 498-6647

3840 Woodruff Ave
Ste 101
Long Beach, CA 90808
Phone (562) 425-8808

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1497951834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15550 ROCKFIELD BLVD",
            "address_2": "B220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182720",
            "telephone_number": "949-598-9999",
            "fax_number": "949-598-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5479 E ABBEYFIELD ST",
            "address_2": "2",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153050",
            "telephone_number": "562-498-6647",
            "fax_number": "562-986-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL G WEST A CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "562-498-6647",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC16967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DC0169670",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "WDC16967A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "DC16967",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "W22568",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1285723999",
            "state": "CA"
        }
    ],
    "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 Nov 8, 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.

Verify at the official NPI Registry.