Amanda Stanuszek, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

33040 Issued in CA

Practice address

1300 S Pacific Coast Hwy Ste 201
Redondo Beach, CA 90277-5003

Phone

(310) 543-7779

Fax

(310) 961-5942

NPI assigned

Aug 18, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1790184562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S PACIFIC COAST HWY STE 201",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775003",
            "telephone_number": "310-543-7779",
            "fax_number": "310-961-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S PACIFIC COAST HWY STE 201",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775003",
            "telephone_number": "310-543-7779",
            "fax_number": "310-961-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANUSZEK",
        "first_name": "AMANDA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.