Abbas Safieddine, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

16510 Issued in CA

Practice address

11757 Quartz Ave
Fountain Valley, CA 92708-2534

Phone

(714) 315-9599

NPI assigned

Mar 31, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Abbas I Safieddine Professional name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: abbas.safieddine@theci.eclinicaldirectplus.com

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.

• T H E Clinic Inc

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1023287679
  Medicare reassignment NPD
• T.H.E. Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1609251735
  NPD (past)

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1598297210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11757 QUARTZ AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082534",
            "telephone_number": "714-315-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11757 QUARTZ AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082534",
            "telephone_number": "714-315-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFIEDDINE",
        "first_name": "ABBAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "16510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBAS",
            "last_name": "SAFIEDDINE",
            "middle_name": "I",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Chiropractor in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.