Individual provider Active NPI

Ali Alex Amjadi, DC

  • Chiropractor
  • Long Beach, CA
National Provider Identifier
1700062932
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28452 Issued in CA
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

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DC28452FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fardad Mogharabi Chiropractic Service Inc. Chiropractor CurrentSince Sep 5, 2021 Accepting new patients
Mothers and Daughters Center, Inc. PastSince May 1, 1999 Accepting new patients
A Michael Moheimani MD Inc PastSince Jan 22, 2023 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.

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.

Verify at the official NPI Registry.