Individual provider Active NPI

Alex Kamsi, D.C.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1851405955
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28966 Issued in CA
Practice address
12422 Salmon River Rd
San Diego, CA 92129-3545
Phone
(858) 753-8090
Fax
(858) 244-7910
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC28966 CA Primary

Addresses

Primary practice location

12422 Salmon River Rd
San Diego, CA 92129-3545

Mailing address

11956 Bernardo Plaza Dr
Suite 556
San Diego, CA 92128-2538
Phone (858) 753-8090

Other identifiers 1

IdentifierTypeStateIssuer
DC28966OtherCACHIROPRACTIC STATE LICENS

Other names 1

  • Ali Khamsei Former name

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
DC28966CAMDChiropractor
28966CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
La Maestra Family Clinic, Inc. Current Accepting new patients
Mission Lake Chiropractic Center Chiropractor PastSince Sep 12, 2006 Accepting new patients
La Maestra Family Clinic Past Accepting new patients

Locations

1032 Broadway
El Cajon, CA 92021
Phone 6192804213 ext. 3176

165 S 1st St
El Cajon, CA 92019
Phone (619) 312-0347

217 Highland Ave
National City, CA 91950
Phone (619) 280-4213

4060 Fairmount Ave
San Diego, CA 92105
Phone (619) 255-9155

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1851405955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11956 BERNARDO PLAZA DR",
            "address_2": "SUITE 556",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282538",
            "telephone_number": "858-753-8090",
            "fax_number": "858-244-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12422 SALMON RIVER RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921293545",
            "telephone_number": "858-753-8090",
            "fax_number": "858-244-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMSI",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC STATE LICENS",
            "identifier": "DC28966",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALI",
            "last_name": "KHAMSEI",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.