Individual provider Active NPI

Shahrbano Sameti, LAC

  • Acupuncturist
  • Sherman Oaks, CA
National Provider Identifier
1215420989
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
17638 Issued in CA
Practice address
4940 Van Nuys Blvd Ste 304
Sherman Oaks, CA 91403-1745
Phone
(747) 998-5330
NPI assigned
Jun 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 17638 CA Primary

Addresses

Primary practice location

4940 Van Nuys Blvd Ste 304
Sherman Oaks, CA 91403-1745

Mailing address

3940 Sepulveda Blvd Apt 40R
Culver City, CA 90230-4636
Phone (310) 824-3859

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

LicenseStateTypeSpecialty
17638CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Contemporary Alternative Medicine 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1215420989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 SEPULVEDA BLVD APT 40R",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304636",
            "telephone_number": "310-824-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 VAN NUYS BLVD STE 304",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031745",
            "telephone_number": "747-998-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMETI",
        "first_name": "SHAHRBANO",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "17638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.