Sam Amirmoazzami, D.C.
Individual provider Active NPI Rehabilitation Chiropractor · Reseda, CA
NPI 1760824262 · NPPES record last updated Jul 24, 2013
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective May 20, 2024.
Key facts
- NPI
- 1760824262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Chiropractor 111NR0400X
- License
- 28300 (CA)
- Practice address
- 18437 Saticoy St
Suite 5
Reseda, CA 91335-2911 - Phone
- (818) 343-8700
- Fax
- (818) 343-8703
- NPI assigned
- Jul 24, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 28300 | CA | Yes |
Addresses
Primary practice location
18437 Saticoy St
Suite 5
Reseda, CA 91335-2911
Mailing address
18437 Saticoy St
Suite 5
Reseda, CA 91335-2911
Phone (818) 343-8700
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All providers in Reseda, CA · Rehabilitation Chiropractor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.