Siavash Tabrizy, M.S., MFT., PH.D

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

MFC33830 Issued in CA

Practice address

3408 E Broadway
Ste. a
Long Beach, CA 90803-5907

Phone

(562) 987-2104

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063580462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17852 ARBOR LN",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122801",
            "telephone_number": "562-987-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 E BROADWAY",
            "address_2": "STE. A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035907",
            "telephone_number": "562-987-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABRIZY",
        "first_name": "SIAVASH",
        "name_prefix": "Dr.",
        "credential": "M.S., MFT., PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "MFC33830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodolfo T. Tabila, M.D.
• Jon Marion Tablang, LCSW
• Mary Kaye Taboada
• Tabrizi Brothers Chiropractic, Inc.
• Mohsen Tabrizi, MD
• Elena Marie Tadd, LMFT
• Kavitha Rao Tadikonda, MD
• Eunice Abigail Tafolla
• Priscilla Tafoya
• Julian Esmaeil Tafreshi, DC

• Genetic Counselor (M.S.) in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Genetic Counselor (M.S.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.