Individual provider Active NPI

Mehrnoush Raissi Ardali

  • Sonography Specialist/Technologist Cardiovascular
  • Huntington Beach, CA
National Provider Identifier
1215587704
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
Practice address
7811 Talbert Ave Apt 19
Huntington Beach, CA 92648-1387
Phone
(949) 662-8969
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist Cardiovascular 246XS1301X Primary

Addresses

Primary practice location

7811 Talbert Ave Apt 19
Huntington Beach, CA 92648-1387

Mailing address

7711 Talbert Ave Apt 19
Huntington Beach, CA 92648-1320
Phone (949) 662-8969

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": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1215587704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 TALBERT AVE APT 19",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481320",
            "telephone_number": "949-662-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 TALBERT AVE APT 19",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481387",
            "telephone_number": "949-662-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAISSI ARDALI",
        "first_name": "MEHRNOUSH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.