Individual provider Active NPI

Bijan Amirshahi

  • Marriage & Family Therapist
  • Irvine, CA
National Provider Identifier
1316156367
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF 42908 Issued in CA
Practice address
4010 Barranca Pkwy
Ste. 252
Irvine, CA 92604-4711
Phone
(949) 733-1440
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF 42908 CA Primary

Addresses

Primary practice location

4010 Barranca Pkwy
Ste. 252
Irvine, CA 92604-4711

Mailing address

4010 Barranca Pkwy
Ste. 252
Irvine, CA 92604-4711
Phone (949) 733-1440

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

LicenseStateTypeSpecialty
IMF 42908CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1316156367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 BARRANCA PKWY",
            "address_2": "STE. 252",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044711",
            "telephone_number": "949-733-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 BARRANCA PKWY",
            "address_2": "STE. 252",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044711",
            "telephone_number": "949-733-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIRSHAHI",
        "first_name": "BIJAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 42908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.