AMANDA STAR (NPI# 1255897799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111NI0900X |
Chiropractor Specialization: Internist |
34456 | CA | Chiropractic Providers |
Address | Telephone Number | Fax Number |
---|---|---|
562 N Larchmont Blvd, Los Angeles, CA 900041306 | 9145528687 |
Street Address |
2723 LINCOLN BLVD |
City | SANTA MONICA |
State | CA |
Zip Code | 90405-4621 |
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 |
Find all providers in zip 90405 |
Taxonomy Code | 111NI0900X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
Specialization | Internist |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487986162 | Socal Med Group, Inc. | Chiropractor | 1223 Wilshire Blvd, 1511, Santa Monica, CA 90403-5400 | 2010-02-05 |
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 |
Find all providers with the same taxonomy |
City | SANTA MONICA |
Zip Code | 90405 |
Please comment or provide details below to improve the information on AMANDA STAR.
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.