Individual provider Active NPI

Leila Astarabadi, LMP

  • Mechanotherapist
  • Costa Mesa, CA
National Provider Identifier
1508225111
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
68162 Issued in CA
Practice address
1202 Bristol St
2ND Floor
Costa Mesa, CA 92626-8605
Phone
(714) 424-9001
NPI assigned
Feb 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 68162 CA Primary

Addresses

Primary practice location

1202 Bristol St
2ND Floor
Costa Mesa, CA 92626-8605

Mailing address

4676 Sierra Tree LN
Irvine, CA 92612-2245
Phone (917) 273-6530

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

LicenseStateTypeSpecialty
68162CAMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1508225111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4676 SIERRA TREE LN",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122245",
            "telephone_number": "917-273-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 BRISTOL ST",
            "address_2": "2ND FLOOR",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926268605",
            "telephone_number": "714-424-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTARABADI",
        "first_name": "LEILA",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "CA",
            "license": "68162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.

Verify at the official NPI Registry.