Individual provider Active NPI

Azien Mousavi, DC

  • Chiropractor
  • Santa Ana, CA
National Provider Identifier
1225594633
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34399 Issued in CA
Practice address
2010 E 1St St Ste 270
Santa Ana, CA 92705-4083
Phone
(657) 221-5436
Fax
(714) 888-4510
NPI assigned
Feb 11, 2019
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13937 TX
Chiropractor 111N00000X 34399 CA Primary

Addresses

Primary practice location

2010 E 1St St Ste 270
Santa Ana, CA 92705-4083

Mailing address

1901 E 1St St Apt 363
Santa Ana, CA 92705-4090
Phone (415) 828-9858

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@divinehealingchiropractic.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211208001862 CA Practitioner - Chiropractic 2668862517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30100 Crown Valley Pkwy
Suite 16
Laguna Niguel, CA 92677-2041
Phone (657) 345-2403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13937TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jo Ann Scott Chiropractic, Inc Chiropractor PastSince Nov 10, 2008 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1225594633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E 1ST ST APT 363",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054090",
            "telephone_number": "415-828-9858",
            "fax_number": "714-888-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E 1ST ST STE 270",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054083",
            "telephone_number": "657-221-5436",
            "fax_number": "714-888-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSAVI",
        "first_name": "AZIEN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13937",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@divinehealingchiropractic.com",
            "affiliation": "N",
            "endpointDescription": "practic  email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jane app soft ware",
            "address_1": "2010 E 1st St Ste 270",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927054083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.