Organization Active NPI

Qazizada Foundation LLC

  • Mental Health Counselor
  • Orange, CA
National Provider Identifier
1336767326
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Aug 7, 2020

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

Authorized official

Name
Wali Abdul Hanifzai, ACSWNPI 1326514290
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.