Active NPI
Pourteymoor Chiropractic, a Professional Corporation
- Chiropractor
- San Pedro, CA
National Provider Identifier
1780921619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 32034
- Legal business name
- POURTEYMOOR CHIROPRACTIC, A PROFESSIONAL CORPORATION
- Practice address
- 789 W 9TH St
San Pedro, CA 90731-3601 - Phone
- (310) 519-1557
- NPI assigned
- Jan 11, 2013
- Last updated
- Jan 11, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nahdir Pourteymoor, D.C.
- Title
- Chiropractor-President
- Phone
- (909) 549-3535
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 32034 | CA | Primary |
Addresses
Primary practice location
789 W 9TH St
San Pedro, CA 90731-3601
Mailing address
789 W 9TH St
San Pedro, CA 90731-3601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
789 W 9th St
San Pedro, CA 90731
Phone (310) 519-1557
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Rancho Palos Verdes, CA
- NPI 1720361132
-
- Chiropractor
- San Pedro, CA
- NPI 1578811535
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1316173404
-
- Family Nurse Practitioner
- Long Beach, CA
- NPI 1073958070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357862400000",
"number": "1780921619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "789 W 9TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907313601"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POURTEYMOOR CHIROPRACTIC, A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-11",
"last_updated": "2013-01-11",
"status": "A",
"authorized_official_last_name": "POURTEYMOOR",
"authorized_official_first_name": "NAHDIR",
"authorized_official_title_or_position": "CHIROPRACTOR-PRESIDENT",
"authorized_official_telephone_number": "909-549-3535",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "32034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pedro, CA
- Point Acu Therapy Corp
- Victor Jerome Poitier
- Joshua Poole, OD
- Port Medical San Pedro
- Pourteymoor Acupuncture, a Professional Corporation
- Kombiz Pouteymoor, D.C.
- Praxis Physical Therapy, Inc.
- Premier Home Physical Therapy, Inc
- Premier Physical Therapy and Wellness Clinic Inc.
- Premier Weight Loss Medical Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.