Active NPI
Ali Alex Amjadi, DC
- Chiropractor
- Long Beach, CA
National Provider Identifier
1700062932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC28452
- Practice address
- 4426 E. Village Rd.
Long Beach, CA 90808-1536 - Phone
- (562) 354-6900
- Fax
- (562) 354-6902
- NPI assigned
- Jan 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC28452 | FL | |
| Chiropractor | 111N00000X | DC28452 | CA | Primary |
Addresses
Primary practice location
4426 E. Village Rd.
Long Beach, CA 90808-1536
Mailing address
4426 E. Village Rd.
Long Beach, CA 90808-1536
Phone (562) 354-6900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC28452 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fardad Mogharabi Chiropractic Service Inc. | Chiropractor | Current | Accepting new patients |
| Mothers and Daughters Center, Inc. | Past | Accepting new patients | |
| A Michael Moheimani MD Inc | Past | Accepting new patients |
Locations
4426 E Village Rd
Long Beach, CA 90808
Phone (562) 354-6900
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.
-
dba Lakewood Village Chiropractic
- Chiropractor
- Long Beach, CA
- NPI 1003418062
-
- Orthopaedic Surgery of the Spine Physician
- Santa Ana, CA
- NPI 1780874222
-
dba Mothers and Daughters Center
- Specialist
- Costa Mesa, CA
- NPI 1851448757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1700062932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4426 E. VILLAGE RD.",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908081536",
"telephone_number": "562-354-6900",
"fax_number": "562-354-6902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4426 E. VILLAGE RD.",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908081536",
"telephone_number": "562-354-6900",
"fax_number": "562-354-6902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMJADI",
"first_name": "ALI",
"middle_name": "ALEX",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-17",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "DC28452",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC28452",
"primary": true
}
],
"identifiers": [],
"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 Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.