Active NPI
Mohamad Baktash Noori, DC
- Independent Medical Examiner Chiropractor
- Mission Viejo, CA
National Provider Identifier
1053571752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Medical Examiner Chiropractor
- License
- DC30885
- Practice address
- 21586 Cabrosa
Mission Veijo
Mission Viejo, CA 92691-1238 - Phone
- (949) 813-6896
- Fax
- (949) 582-5237
- NPI assigned
- Jun 16, 2008
- Last updated
- Jun 16, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | DC30885 | CA | |
| Independent Medical Examiner Chiropractor | 111NI0013X | DC30885 | CA | Primary |
Addresses
Primary practice location
21586 Cabrosa
Mission Veijo
Mission Viejo, CA 92691-1238
Mailing address
21586 Cabrosa STR
Mission Veijo
Mission Veijo, CA 92691
Phone (949) 813-6896
Other names 1
- Dr. Mohamad Baktash Noori
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC30885 | CA | MD | Nutrition Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1053571752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21586 CABROSA STR",
"address_2": "MISSION VEIJO",
"city": "MISSION VEIJO",
"state": "CA",
"postal_code": "92691",
"telephone_number": "949-813-6896",
"fax_number": "949-582-5237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21586 CABROSA",
"address_2": "MISSION VEIJO",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926911238",
"telephone_number": "949-813-6896",
"fax_number": "949-582-5237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOORI",
"first_name": "MOHAMAD",
"middle_name": "BAKTASH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-16",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CA",
"license": "DC30885",
"primary": false
},
{
"code": "111NI0013X",
"taxonomy_group": "",
"desc": "Chiropractor, Independent Medical Examiner",
"state": "CA",
"license": "DC30885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MOHAMAD",
"last_name": "NOORI",
"middle_name": "BAKTASH",
"prefix": "DR.",
"credential": "DC DOCTOR OF CHIRO",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Mission Viejo, CA
- Jonathan Rudolph Noel, DC
- Joseph Zachary Nojan
- Sima Mah Nojomian, DDS
- Langson Nong, PHARMD
- Noni Dental Corporation (Mission Viejo Dental Specialists and Orthodontics)
- Nader Noorian, M.D.
- Nordstrom Inc & Subsidiaries
- Jennifer Michelle Norheim, M.F.C.C.
- Sophia Elisabeth Norheim, LMFT
- Michelle R Noriega
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.