AMANDA STAR


Address: 2723 Lincoln Blvd, Santa Monica, CA 90405-4621
Phone: 9145528687

AMANDA STAR (NPI# 1255897799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255897799
Entity Type Individual
Full Name AMANDA STAR
Credential DC
Practice Address 2723 Lincoln Blvd
Santa Monica
CA 90405-4621
Mailing Address 1912 N New Hampshire Ave
Los Angeles
CA 90027-1819
Practice Telephone 9145528687
Mailing Telephone 9145528687
Enumeration Date 2019-02-20
Last Update Date 2019-06-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111NI0900X Chiropractor
Specialization: Internist
34456 CA Chiropractic Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
562 N Larchmont Blvd, Los Angeles, CA 900041306 9145528687

Office Location

Street Address 2723 LINCOLN BLVD
City SANTA MONICA
State CA
Zip Code 90405-4621

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699328476 Nicole Ryan Harbeck Marriage & Family Therapist 2716 Ocean Park Blvd Ste 2007, Santa Monica, CA 90405 2019-07-19
1922664440 Betty Ann Wise Counselor 1865 W. 9th Street, Santa Monica, CA 90405 2019-05-10
1790203776 Ernest Jones Jr. Counselor 909 Pico Blvd., Santa Monica, CA 90405 2017-08-30
1285171371 Jori Adler Marriage & Family Therapy Prof. Corp. Marriage & Family Therapist 3400 Airport Ave Ste 30, Santa Monica, CA 90405 2017-01-26
1376993147 Damoan Corp. Speech-Language Pathologist 2801 Ocean Park Blvd Ste 393, Santa Monica, CA 90405 2016-06-13
1427410034 Adam Rubio Clinical Neuropsychologist 1916 4th Street, Santa Monica, CA 90405 2016-03-23
1760852842 Yramnna Smith Behavioral Analyst 2716 Ocean Park Blvd Ste 1025, Santa Monica, CA 90405 2015-10-01
1689086076 Cheryl K. Baker Community Health Worker 1750 Ocean Park Blvd., Suite 206, Santa Monica, CA 90405 2014-05-20
1629409891 Dominique M. Delvecchio Nurse Practitioner 2716 Ocean Park Blvd. Suite 3082, Institute for Nerve Medicine, Santa Monica, CA 90405 2013-12-12
1639512692 Nancy Elizabeth Hyland Marriage & Family Therapist 1720 Ocean Park Blvd, Suite 200a, Santa Monica, CA 90405 2013-04-09
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Taxonomy Information

Taxonomy Code 111NI0900X
Grouping Chiropractic Providers
Classification Chiropractor
Specialization Internist

Taxonomy Definition

The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease.
Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487986162 Socal Med Group, Inc. Chiropractor 1223 Wilshire Blvd, 1511, Santa Monica, CA 90403-5400 2010-02-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184193088 Katie Susse Chiropractor 9201 W Sunset Blvd # Gf1a, Los Angeles, CA 90069-3701 2018-11-20
1205348158 Andrea Louise Patane Chiropractor 1788 Highway 99, Gridley, CA 95948-2210 2017-11-01
1699105544 Western United Medical Care Inc. Chiropractor 1414 S Azusa Ave Ste B-5, West Covina, CA 91791-4088 2013-11-13
1871739953 Raymond James Janfaza Chiropractor 11847 Wilshire Bl., Ste. 301, Los Angeles, CA 90025 2008-12-19
1295989226 High Desert Medical Office Chiropractor 14298 St. Andrews Dr, Suite 11, Victorville, CA 92395 2008-11-04
1609053446 Philip Peter Princetta Chiropractor 1818 Howard Ave, San Diego, CA 92103-2507 2008-01-23
1508042136 Lee Emmanuel Oliva Chiropractor 15865 Gale Ave, #d, Hacienda Heights, CA 91745-1643 2008-01-14
1760600027 Ann E Bailey Chiropractor 113 N Acacia Ave, Solana Beach, CA 92075-1103 2007-04-23
1619098407 Stephen Ram Nandkeshwar Chiropractor 333 W. El Camino Real, Suite 390, Sunnyvale, CA 94087 2007-04-02
1417081738 Joseph Mcnally Leedy Chiropractor 535 Vista Bella, Oceanside, CA 92057-7004 2007-03-16
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Competitor

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City SANTA MONICA
Zip Code 90405

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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