Individual provider Active NPI

Fereshteh Saeeda, D.C

  • Chiropractor
  • Tustin, CA
National Provider Identifier
1043675697
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33325 Issued in CA
Practice address
180 E Main St Suite 106
Tustin, CA 92780
Phone
(714) 505-1901
Fax
(714) 884-3391
NPI assigned
Dec 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33325 CA Primary

Addresses

Primary practice location

180 E Main St Suite 106
Tustin, CA 92780

Mailing address

180 E Main St Ste 106
Tustin, CA 92780-4459
Phone (714) 505-1901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160307000590 CA Practitioner - Chiropractic 0547566234 Practice locations: Tustin, CA
I20220716000482 CA Practitioner - Chiropractic 0547566234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

180 E Main St
Suite 106
Tustin, CA 92780-4459
Phone (714) 505-1901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Chiropractic & Wellness Center Inc CurrentSince Jun 20, 2022 Accepting new patients
Pacific Chiropractic & Wellness Center Chiropractor PastSince Mar 7, 2016 Accepting new patients

Locations

180 E Main St
Ste 106
Tustin, CA 92780
Phone (714) 505-1901

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1043675697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 E MAIN ST STE 106",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804459",
            "telephone_number": "714-505-1901",
            "fax_number": "714-884-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E MAIN ST SUITE 106",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "92780",
            "telephone_number": "714-505-1901",
            "fax_number": "714-884-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAEEDA",
        "first_name": "FERESHTEH",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.