Alexander Ezzati, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC14696 Issued in CA

Practice address

18345 Ventura Blvd
Suite 503
Tarzana, CA 91356-4232

Phone

(310) 592-4487

NPI assigned

May 23, 2012

Last updated

May 23, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Healing Journey Wellness Center Inc.

  • Health Service Clinic/Center
  • Encino, CA
  • NPI 1538995147
  NPD

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1316207327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18345 VENTURA BLVD",
            "address_2": "SUITE 503",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564232",
            "telephone_number": "310-592-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18345 VENTURA BLVD",
            "address_2": "SUITE 503",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564232",
            "telephone_number": "310-592-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZZATI",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Executive Recovery Group, Inc (Renewal Health Group)
• Express Reliable Diagnostic Inc
• Ariga Eyvazi
• Ezlinkmeds Pharmacy, Inc.
• Joseph Ezra, MD
• Nazanin Ezzati, DDS
• Neil D Fagen, MD
• Jeremy Fain
• Azita Fakheri, MD
• Amita Firouzi Fakhimi, PSY.D.

• Acupuncturist in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.