Individual provider Active NPI

Homa Sajadian Sikon, L.AC., DIPL. OM

  • Acupuncturist
  • Redondo Beach, CA
National Provider Identifier
1265709570
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
12590 Issued in CA
Practice address
116 S. Catalina Avenue
Suite 113
Redondo Beach, CA 90277
Phone
(310) 372-5555
Fax
(310) 923-7689
NPI assigned
Nov 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 12590 CA Primary

Addresses

Primary practice location

116 S. Catalina Avenue
Suite 113
Redondo Beach, CA 90277

Mailing address

116 S. Catalina Avenue
Suite 113
Redondo Beach, CA 90277
Phone (310) 372-5555

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": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1265709570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S. CATALINA AVENUE",
            "address_2": "SUITE 113",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "90277",
            "telephone_number": "310-372-5555",
            "fax_number": "310-923-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S. CATALINA AVENUE",
            "address_2": "SUITE 113",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "90277",
            "telephone_number": "310-372-5555",
            "fax_number": "310-923-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKON",
        "first_name": "HOMA",
        "middle_name": "SAJADIAN",
        "name_prefix": "Ms.",
        "credential": "L.AC., DIPL. OM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "12590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.