Active NPI
Parviz Zandifar, L.AC,PH.D.
- Acupuncturist
- Santa Clara, CA
National Provider Identifier
1194805101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 5681
- Practice address
- 1961 Pruneridge Ave
Ste B-1
Santa Clara, CA 95050-6575 - Phone
- (408) 292-4391
- NPI assigned
- Oct 16, 2006
- 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 | AC 5681 | CA | Primary |
Addresses
Primary practice location
1961 Pruneridge Ave
Ste B-1
Santa Clara, CA 95050-6575
Mailing address
1961 Pruneridge Ave
Ste B-1
Santa Clara, CA 95050-6575
Phone (408) 292-4391
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC 0056810 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC 5681 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644019200000",
"number": "1194805101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1961 PRUNERIDGE AVE",
"address_2": "STE B-1",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950506575",
"telephone_number": "408-292-4391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1961 PRUNERIDGE AVE",
"address_2": "STE B-1",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950506575",
"telephone_number": "408-292-4391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANDIFAR",
"first_name": "PARVIZ",
"name_prefix": "Prof.",
"credential": "L.AC,PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2022-02-05",
"certification_date": "2022-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 5681",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AC 0056810",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.