Active NPI
Bahram Heshmatipour
- Acupuncturist
- Encino, CA
National Provider Identifier
1225526718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 17592
- Practice address
- 5353 Balboa Blvd
Encino, CA 91316-2804 - Phone
- (818) 387-6565
- NPI assigned
- Apr 30, 2018
- 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 | 17592 | CA | Primary |
Addresses
Primary practice location
5353 Balboa Blvd
Encino, CA 91316-2804
Mailing address
23245 W Vail Dr
West Hills, CA 91307-1449
Phone (949) 514-7728
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 |
|---|---|---|---|
| 17592 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525046400000",
"number": "1225526718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23245 W VAIL DR",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913071449",
"telephone_number": "949-514-7728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5353 BALBOA BLVD",
"city": "ENCINO",
"state": "CA",
"postal_code": "913162804",
"telephone_number": "818-387-6565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESHMATIPOUR",
"first_name": "BAHRAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-30",
"last_updated": "2018-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "17592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.