Kombiz Pouteymoor, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

32368 Issued in CA

Practice address

789 W 9TH St
San Pedro, CA 90731-3601

Phone

(310) 519-1557

Fax

(310) 519-0330

NPI assigned

Aug 24, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pourteymoor Chiropractic a Professional CorporationGroup PAC ID 7719132331, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pourteymoor Chiropractic, a Professional Corporation

  • Chiropractor
  • San Pedro, CA
  • NPI 1780921619
  Medicare reassignment Care Compare group NPD
• Total Body Advanced Medicine Inc

  • General Practice Physician
  • San Pedro, CA
  • NPI 1063063451
  NPD

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

{
    "created_epoch": "1345766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1578811535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5278 RANCH GATE RD",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917011217",
            "telephone_number": "909-559-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 W 9TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313601",
            "telephone_number": "310-519-1557",
            "fax_number": "310-519-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUTEYMOOR",
        "first_name": "KOMBIZ",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-24",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32368",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "15461",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Jerome Poitier
• Joshua Poole, OD
• Port Medical San Pedro
• Pourteymoor Acupuncture, a Professional Corporation
• Pourteymoor Chiropractic, a Professional Corporation
• Praxis Physical Therapy, Inc.
• Premier Home Physical Therapy, Inc
• Premier Physical Therapy and Wellness Clinic Inc.
• Premier Weight Loss Medical Clinic
• Anya Price, RN

• Chiropractor in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.