Active NPI
Hamidreza Fardghassemlou, PH.D., L.AC
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1154462935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC4257
- Practice address
- 10920 Wilshire Blvd
Suite 150-9241
Los Angeles, CA 90024-6502 - Phone
- (310) 980-6677
- Fax
- (310) 441-1133
- NPI assigned
- Feb 12, 2007
- Sex
- Male
- 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 | AC4257 | CA | Primary |
Addresses
Primary practice location
10920 Wilshire Blvd
Suite 150-9241
Los Angeles, CA 90024-6502
Mailing address
10920 Wilshire Blvd
Suite 150-9241
Los Angeles, CA 90024-3990
Phone (310) 980-6677
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC4257 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154462935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10920 WILSHIRE BLVD",
"address_2": "SUITE 150-9241",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900243990",
"telephone_number": "310-980-6677",
"fax_number": "310-441-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10920 WILSHIRE BLVD",
"address_2": "SUITE 150-9241",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900246502",
"telephone_number": "310-980-6677",
"fax_number": "310-441-1133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARDGHASSEMLOU",
"first_name": "HAMIDREZA",
"name_prefix": "Dr.",
"credential": "PH.D., L.AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC4257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.