Sepideh Forstie

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

23806 Issued in CA

Legal business name

SEPIDEH FORSTIE

Practice address

1300 Avenida Vista Hermosa
Ste 100
San Clemente, CA 92673-6315

Phone

(949) 939-2928

NPI assigned

Apr 15, 2016

Last updated

Apr 18, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sepideh Forstie, D.C.NPI 1104189570

Title

Practitioner/Owner

Phone

(949) 939-2928

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sepideh Forstie, D.C.

  • Sports Physician Chiropractor
  • San Clemente, CA
  • NPI 1104189570
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1023462074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 CALLE JUAREZ",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926733021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 AVENIDA VISTA HERMOSA",
            "address_2": "STE 100",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736315",
            "telephone_number": "949-939-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEPIDEH FORSTIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "FORSTIE",
        "authorized_official_first_name": "SEPIDEH",
        "authorized_official_title_or_position": "PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "949-939-2928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "23806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tyler Charles Seppanen, M.P.T.
• Janet M Seymour, PSYD
• Shahin Mahallati Dental Corp (Smile San Clemente)
• Jamie Shanafelt, RN, IBCLC
• Bradley C Shapero, DC

• Sports Physician Chiropractor in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.