DR. KOMBIZ POUTEYMOOR D.C.
NPI 1578811535
Chiropractor in San Pedro, CA

Active since August 24, 2012Accepts Medicare Assignment
789 W 9TH ST, SAN PEDRO, CA 90731(310) 519-1557(310) 519-0330 Get Directions Write a Review

NPPES record last updated: June 6, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kombiz Pouteymoor D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KOMBIZ POUTEYMOOR D.C. (NPI 1578811535) is an individual chiropractor in San Pedro, California, licensed in California (32368) and active in the NPI registry since August 2012. He is a graduate of Los Angeles College Of Chiropractic (2012).

NPPES Registry Identity

NPI1578811535
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KOMBIZ POUTEYMOORCredential: D.C.
Location Address789 W 9TH STSan Pedro, CA 90731-3601
Mailing Address5278 Ranch Gate RdAlta Loma, CA 91701-1217 · (909) 559-5061
Fax(310) 519-0330
Sole ProprietorYes
Medical School CMSLos Angeles College Of ChiropracticGraduated 2012
Enumeration DateAugust 24, 2012
Last NPPES UpdateJune 6, 2016
NPI 1578811535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in CA · 32368
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Also ListedAcupuncturistTaxonomy 171100000X · License 15461 (CA)
789 W 9TH ST, San Pedro, CA 90731

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kombiz Pouteymoor D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355596974
PECOS Enrollment IDI20130306000207

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
789 W 9TH ST
SAN PEDRO, CA 90731
General Practice
789 W 9TH ST
SAN PEDRO, CA 90731

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578811535, enumerated as an "individual" on August 24, 2012.

The provider is located at 789 W 9TH ST SAN PEDRO, CA 90731 and the phone number is (310) 519-1557.

Chiropractor with taxonomy code 111N00000X.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.