Active NPI
Mehrzad Talle, LAC
- Acupuncturist
- Placentia, CA
National Provider Identifier
1205921640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC4386
- Practice address
- 1804 N. Placentia Ave
Placentia, CA 92870-2303 - Phone
- (714) 528-9400
- Fax
- (714) 528-9403
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 | AC4386 | CA | Primary |
Addresses
Primary practice location
1804 N. Placentia Ave
Placentia, CA 92870-2303
Mailing address
12 Tepolito
Rancho Santa Margarita, CA 92688-1503
Phone (949) 709-2912
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC4386 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Inglis Physical Therapy Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Physical Therapy Specialists
- Physical Therapy Clinic/Center
- Placentia, CA
- NPI 1164648994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205921640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 TEPOLITO",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926881503",
"telephone_number": "949-709-2912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1804 N. PLACENTIA AVE",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928702303",
"telephone_number": "714-528-9400",
"fax_number": "714-528-9403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLE",
"first_name": "MEHRZAD",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC4386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Placentia, 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.