Active NPI
Sepideh Forstie, D.C.
- Sports Physician Chiropractor
- San Clemente, CA
National Provider Identifier
1104189570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 23806
- Practice address
- 1300 Avenida Vista Hermosa
Suite 100
San Clemente, CA 92673-6315 - Phone
- (949) 939-2928
- NPI assigned
- Jun 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 23806 | CA | Primary |
Addresses
Primary practice location
1300 Avenida Vista Hermosa
Suite 100
San Clemente, CA 92673-6315
Mailing address
605 Calle Juarez
San Clemente, CA 92673-3021
Phone (949) 939-2928
Other names 1
- Sepi Forstie
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sepideh Forstie | Sports Physician | Past | Accepting new patients |
| Miracle Hands Home Health Care, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Sports Physician Chiropractor
- San Clemente, CA
- NPI 1023462074
-
- Home Health Agency
- Cleveland, OH
- NPI 1417441684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460678400000",
"number": "1104189570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 CALLE JUAREZ",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926733021",
"telephone_number": "949-939-2928",
"fax_number": "949-218-5081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 AVENIDA VISTA HERMOSA",
"address_2": "SUITE 100",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926736315",
"telephone_number": "949-939-2928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORSTIE",
"first_name": "SEPIDEH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-20",
"last_updated": "2016-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "23806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SEPI",
"last_name": "FORSTIE",
"credential": "D.C.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.