Individual provider Active NPI

Maryam Parsi Kanemoto

  • Acupuncturist
  • Costa Mesa, CA
National Provider Identifier
1043728041
Registry record updated Jan 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC17884 Issued in CA
Practice address
3001 Jeffrey Dr Unit a
Costa Mesa, CA 92626-2928
Phone
(714) 393-5245
NPI assigned
Jan 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC17884 CA Primary

Addresses

Primary practice location

3001 Jeffrey Dr Unit a
Costa Mesa, CA 92626-2928

Mailing address

3001 Jeffrey Dr Unit a
Costa Mesa, CA 92626-2928
Phone (714) 393-5245

Other names 1

  • Maryam Parsi Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC17884CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Parsi Accupuncture Clinic, PC Acupuncturist Current Accepting new patients

Locations

22 Odyssey
Ste 165
Irvine, CA 92618
Phone (949) 727-2192

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515715200000",
    "number": "1043728041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 JEFFREY DR UNIT A",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262928",
            "telephone_number": "714-393-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 JEFFREY DR UNIT A",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262928",
            "telephone_number": "714-393-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSI KANEMOTO",
        "first_name": "MARYAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC17884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYAM",
            "last_name": "PARSI",
            "credential": "LAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; 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.