Active NPI
Sima Ebrahimi
- Other Technician
- Pasadena, CA
National Provider Identifier
1396847463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 600 S Lake Ave
Suite #205
Pasadena, CA 91106-3955 - Phone
- (888) 777-6639
- Fax
- (626) 408-6624
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary | ||
| Acupuncturist | 171100000X | AC15514 | CA |
Addresses
Primary practice location
600 S Lake Ave
Suite #205
Pasadena, CA 91106-3955
Mailing address
600 S Lake Ave
Suite #205
Pasadena, CA 91106-3955
Phone (888) 777-6639
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 |
|---|---|---|---|
| AC15514 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1396847463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 S LAKE AVE",
"address_2": "SUITE #205",
"city": "PASADENA",
"state": "CA",
"postal_code": "911063955",
"telephone_number": "888-777-6639",
"fax_number": "626-408-6624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S LAKE AVE",
"address_2": "SUITE #205",
"city": "PASADENA",
"state": "CA",
"postal_code": "911063955",
"telephone_number": "888-777-6639",
"fax_number": "626-408-6624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBRAHIMI",
"first_name": "SIMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC15514",
"primary": false
}
],
"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 May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.