Individual provider Active NPI

Mohamad Baktash Noori, DC

  • Independent Medical Examiner Chiropractor
  • Mission Viejo, CA
National Provider Identifier
1053571752
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
DC30885 Issued in CA
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 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
DC30885CAMDNutrition 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

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.

Verify at the official NPI Registry.