Active NPI
Shabnam Esmailzadeh K, LAC
- Acupuncturist
- Laguna Beach, CA
National Provider Identifier
1366952152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC16240
- Practice address
- 31872 Coast Hwy
Laguna Beach, CA 92651-6773 - Phone
- (949) 499-1311
- NPI assigned
- Oct 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC16240 | CA | Primary |
Addresses
Primary practice location
31872 Coast Hwy
Laguna Beach, CA 92651-6773
Mailing address
PO Box 7663
Newport Beach, CA 92658-7663
Phone (949) 500-1694
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC16240 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507161600000",
"number": "1366952152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7663",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926587663",
"telephone_number": "949-500-1694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31872 COAST HWY",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926516773",
"telephone_number": "949-499-1311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESMAILZADEH K",
"first_name": "SHABNAM",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-05",
"last_updated": "2017-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC16240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.