Individual provider Active NPI

Fatima Manesh, ALC

  • Acupuncturist
  • Irvine, CA
National Provider Identifier
1558798462
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC#15378 Issued in CA
Practice address
8 Palmento Way
Irvine, CA 92612
Phone
(949) 226-1526
NPI assigned
Oct 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC#15378 CA Primary

Addresses

Primary practice location

8 Palmento Way
Irvine, CA 92612

Mailing address

8 Palmento Way
Irvine, CA 92612-2109
Phone (949) 226-1526

Other identifiers 1

IdentifierTypeStateIssuer
AC#15378OtherCAAC

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
AC#15378CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1558798462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PALMENTO WAY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122109",
            "telephone_number": "949-226-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PALMENTO WAY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92612",
            "telephone_number": "949-226-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANESH",
        "first_name": "FATIMA",
        "name_prefix": "Dr.",
        "credential": "ALC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC#15378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AC",
            "identifier": "AC#15378",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.