Total Body Advanced Medicine Inc
NPI 1063063451ActiveOrganization· General Practice· San Pedro, CA
General Practice in San Pedro, California, registered in NPPES in September 2019. The authorized official on file is Nahdir Pourteymoor, DC, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063063451 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 26, 2019 |
| Last updated in NPPES | Nov 19, 2025 |
| Certified by provider | Nov 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
Other general practitioners in San Pedro
- 1922041102
- 1376735340
- 1376744698
- 1558605980
- 1659129906
- 1952620049
- 1962629162
- 1932370947