Individual provider Active NPI

Majidreza Tabibzadeh

  • Acupuncturist
  • Fullerton, CA
National Provider Identifier
1255822284
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
18036 Issued in CA
Practice address
1300 E Wilshire Ave Apt 230
Fullerton, CA 92831-3946
Phone
(562) 440-0558
NPI assigned
May 24, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 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 18036 CA Primary

Addresses

Primary practice location

1300 E Wilshire Ave Apt 230
Fullerton, CA 92831-3946

Mailing address

1300 E Wilshire Ave Apt 230
Fullerton, CA 92831-3946
Phone (562) 440-0558

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
18036CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Healing Chiropractic Mousavi Inc Past Accepting new patients
Jo Ann Scott Chiropractic, Inc PastSince Nov 10, 2008 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1255822284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E WILSHIRE AVE APT 230",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313946",
            "telephone_number": "562-440-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E WILSHIRE AVE APT 230",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313946",
            "telephone_number": "562-440-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABIBZADEH",
        "first_name": "MAJIDREZA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "18036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.