Individual provider Active NPI

Maurina Krystal Fanous

  • Acupuncturist
  • Pasadena, CA
National Provider Identifier
1386133593
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
19688 Issued in CA
Practice address
221 E Walnut St Ste 134
Pasadena, CA 91101-1554
Phone
(626) 377-9596
NPI assigned
May 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Acupuncturist 171100000X 19688 CA Primary

Addresses

Primary practice location

221 E Walnut St Ste 134
Pasadena, CA 91101-1554

Mailing address

8028 4TH St Unit B
Downey, CA 90241-3606
Phone (562) 728-3131

Other practice location 1

6204 Galanos Ct
Bakersfield, CA 93313-5103
Phone (562) 728-3131

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healing With Zen, Inc. Acupuncturist CurrentSince Apr 23, 2023 Accepting new patients

Locations

221 E Walnut St
Ste 134
Pasadena, CA 91101
Phone (626) 377-9596

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1386133593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8028 4TH ST UNIT B",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413606",
            "telephone_number": "562-728-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E WALNUT ST STE 134",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011554",
            "telephone_number": "626-377-9596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6204 Galanos Ct",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933135103",
            "country_code": "US",
            "telephone_number": "562-728-3131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANOUS",
        "first_name": "MAURINA",
        "middle_name": "KRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.