Healthcare Provider Details

I. General information

NPI: 1225438690
Provider Name (Legal Business Name): AMANDA F. SAMS D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA J. FOSTER D.C.

II. Dates (important events)

Enumeration Date: 09/03/2014
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4380 FELTON ST
SAN DIEGO CA
92104-1421
US

IV. Provider business mailing address

4380 FELTON ST
SAN DIEGO CA
92104-1421
US

V. Phone/Fax

Practice location:
  • Phone: 619-283-6001
  • Fax: 619-283-1272
Mailing address:
  • Phone: 619-283-6001
  • Fax: 619-283-1272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number33046
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: