Organization Active NPI

Holistic Acu-Med Acupuncture Center, PC

  • Acupuncturist
  • Orange, CA
National Provider Identifier
1063708402
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC3205 Issued in CA
Legal business name
HOLISTIC ACU-MED ACUPUNCTURE CENTER, PC
Practice address
172 N Tustin St Ste 204
Orange, CA 92867-7780
Phone
(714) 288-8484
Fax
(714) 288-8487
NPI assigned
Jun 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Authorized official

Name
Dr. Sepideh Z. Said, LIC.AC., OMD, QMENPI 1952331902
Title
President
Phone
(714) 288-8484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC3205 CA Primary

Addresses

Primary practice location

172 N Tustin St Ste 204
Orange, CA 92867-7780

Mailing address

172 N Tustin St Ste 204
Orange, CA 92867-7780
Phone (714) 288-8484

Other identifiers 1

IdentifierTypeStateIssuer
AC0032050OtherCAMEDI-CAL

Other names 1

  • Holistic Acu-Med Center Doing business as

National Provider Directory

National Provider Directory

Locations

172 N Tustin St
Ste 204
Orange, CA 92867
Phone (714) 288-8484

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1063708402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 N TUSTIN ST STE 204",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928677780",
            "telephone_number": "714-288-8484",
            "fax_number": "714-288-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 N TUSTIN ST STE 204",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928677780",
            "telephone_number": "714-288-8484",
            "fax_number": "714-288-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC ACU-MED ACUPUNCTURE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "SAID",
        "authorized_official_first_name": "SEPIDEH",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-288-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LIC.AC., OMD, QME"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC3205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "AC0032050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Acu-Med Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.