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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: November 01, 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
Phone(310) 519-1557
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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignment

Medicare enrollment records show Kombiz Pouteymoor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pourteymoor Chiropractic, A Professional Corporation
Same address
Chiropractor
789 W 9TH ST
San Pedro, CA 90731
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1780921619 (310) 519-1557

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
186 services18 patients

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.

TOTAL BODY ADVANCED MEDICINE INC
General Practice
789 W 9TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 519-1557
POURTEYMOOR CHIROPRACTIC, A PROFESSIONAL CORPORATION
Chiropractor
789 W 9TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 519-1557

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kombiz Pouteymoor's NPI number?

The NPI number for Kombiz Pouteymoor is 1578811535. It was assigned to this individual provider in the NPPES registry on August 24, 2012.

Where is Kombiz Pouteymoor located?

Kombiz Pouteymoor practices at 789 W 9th St, San Pedro, CA 90731. The listed phone number is (310) 519-1557.

What is Kombiz Pouteymoor's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kombiz Pouteymoor enrolled in Medicare?

Yes. Kombiz Pouteymoor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kombiz Pouteymoor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kombiz Pouteymoor reassigns Medicare benefits to Pourteymoor Chiropractic, A Professional Corporation (San Pedro, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kombiz Pouteymoor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kombiz Pouteymoor was last updated on June 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.