Active NPI
Qazizada Foundation LLC
- Mental Health Counselor
- Orange, CA
National Provider Identifier
1336767326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- QAZIZADA FOUNDATION LLC
- Practice address
- 2854 N Santiago Blvd Ste 200
Orange, CA 92867-1700 - Phone
- (310) 985-3845
- NPI assigned
- Jul 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wali Abdul Hanifzai, ACSW
- Title
- Founder
- Phone
- (310) 985-3845
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2854 N Santiago Blvd Ste 200
Orange, CA 92867-1700
Mailing address
PO Box 10913
Costa Mesa, CA 92627-0913
Phone (310) 985-3845
Other names 1
- Qazizada Foundation
National Provider Directory
National Provider DirectoryLocations
2854 N Santiago Blvd
Ste 200
Orange, CA 92867
Phone (310) 985-3845
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Orange, CA
- NPI 1326514290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596758400000",
"number": "1336767326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10913",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926270913",
"telephone_number": "310-985-3845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2854 N SANTIAGO BLVD STE 200",
"city": "ORANGE",
"state": "CA",
"postal_code": "928671700",
"telephone_number": "310-985-3845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QAZIZADA FOUNDATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-07",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A",
"authorized_official_last_name": "HANIFZAI",
"authorized_official_first_name": "WALI",
"authorized_official_middle_name": "ABDUL",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "310-985-3845",
"authorized_official_credential": "ACSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Qazizada Foundation",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Qazizada Foundation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.