Individual provider Active NPI

Niloofar Nikpour, LAC, MTOM

  • Acupuncturist
  • Laguna Niguel, CA
National Provider Identifier
1619703394
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
20174 Issued in CA
Practice address
30131 Town Center Dr Ste 270
Laguna Niguel, CA 92677-2082
Phone
(949) 229-5055
Fax
(714) 362-2337
NPI assigned
Sep 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 20174 CA Primary

Addresses

Primary practice location

30131 Town Center Dr Ste 270
Laguna Niguel, CA 92677-2082

Mailing address

30131 Town Center Dr Ste 270
Laguna Niguel, CA 92677-2082
Phone (949) 229-5055

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
20174CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Institute of Acupuncture and Lifestyle Medicine, Inc Acupuncturist CurrentSince Oct 13, 2024 Accepting new patients

Locations

30131 Town Center Dr
Ste 270
Laguna Niguel, CA 92677
Phone (949) 229-5055

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1619703394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR STE 270",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772082",
            "telephone_number": "949-229-5055",
            "fax_number": "714-362-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR STE 270",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772082",
            "telephone_number": "949-229-5055",
            "fax_number": "714-362-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKPOUR",
        "first_name": "NILOOFAR",
        "credential": "LAC, MTOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "20174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.