Active NPI
Mahnoush Esmaili
- Acupuncturist
- Aliso Viejo, CA
National Provider Identifier
1104583384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 19315
- Practice address
- 22702 Pacific Park Dr Apt A26
Aliso Viejo, CA 92656-7101 - Phone
- (917) 861-8983
- NPI assigned
- Nov 22, 2021
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 19315 | CA | Primary |
Addresses
Primary practice location
22702 Pacific Park Dr Apt A26
Aliso Viejo, CA 92656-7101
Mailing address
22702 Pacific Park Dr Apt A26
Aliso Viejo, CA 92656-7101
Phone (917) 861-8983
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1104583384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22702 PACIFIC PARK DR APT A26",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926567101",
"telephone_number": "917-861-8983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22702 PACIFIC PARK DR APT A26",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926567101",
"telephone_number": "917-861-8983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESMAILI",
"first_name": "MAHNOUSH",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-22",
"last_updated": "2022-01-03",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "19315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aliso Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.