Individual provider Active NPI

Sam Vazin, DC

  • Chiropractor
  • Torrance, CA
National Provider Identifier
1619487220
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34018 Issued in CA
Practice address
2537 Pacific Coast Hwy Ste B
Torrance, CA 90505-7064
Phone
(424) 235-1562
Fax
(424) 235-1561
NPI assigned
Oct 9, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34018 CA Primary

Addresses

Primary practice location

2537 Pacific Coast Hwy Ste B
Torrance, CA 90505-7064

Mailing address

28827 Leah Cir
Rancho Palos Verdes, CA 90275-4767

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210722001290 CA Practitioner - Chiropractic 1557692951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29050 S Western Ave
Suite 152
Rancho Palos Verdes, CA 90275-0812
Phone (310) 831-0003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34018CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Zaker Chiropractic Corp Chiropractor CurrentSince Jul 1, 2021 Accepting new patients
Rancho Vazin Chiropractic Inc CurrentSince Nov 7, 2023 Accepting new patients
Vazin Chiropractic Past Accepting new patients

Locations

29050 S Western Ave
Ste 152
Rch Palos Vrd, CA 90275
Phone (310) 519-8877

525 W 7th St
San Pedro, CA 90731
Phone (310) 831-0003

2537 Pacific Coast Hwy
Ste B
Torrance, CA 90505
Phone (310) 606-1723

2583 Pacific Coast Hwy
Torrance, CA 90505
Phone (424) 235-1562

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507507200000",
    "number": "1619487220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28827 LEAH CIR",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902754767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2537 PACIFIC COAST HWY STE B",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905057064",
            "telephone_number": "424-235-1562",
            "fax_number": "424-235-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZIN",
        "first_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-09",
        "last_updated": "2017-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; 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.