Keivan Bibiyan, LAC LICENSED ACUPUNC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC3548 Issued in CA

Practice address

16661 Ventura Blvd
211
Encino, CA 91436

Phone

(818) 789-7897

Fax

(818) 789-2346

NPI assigned

Oct 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568545507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 PETIT AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "818-789-7897",
            "fax_number": "818-789-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD",
            "address_2": "211",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "818-789-7897",
            "fax_number": "818-789-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBIYAN",
        "first_name": "KEIVAN",
        "credential": "LAC LICENSED ACUPUNC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC3548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beyond Therapy Medical Group
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• Vasudha Bhutani, O.D.
• Luca Bianchi
• Jessica Biber
• Crystal Antoinette Bicego, M. S. MFT INTERN
• Allison Rose Bickelman, M.S., B.C.B.A.
• Philip Biderman, M.D.
• Harrison Gray Bieker
• Jonine Biesman, PSY,D. ABPDN

• Acupuncturist in Encino, CA
• Providers in Encino, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.