Active NPI
Rostam Behikeesh, MD(IR), LAC.
- Acupuncturist
- Santa Monica, CA
National Provider Identifier
1669946349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 18355
- Practice address
- 1807 Wilshire Blvd Ste 200
Santa Monica, CA 90403-5795 - Phone
- (310) 703-3419
- NPI assigned
- Jan 16, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 18355 | CA | Primary |
Addresses
Primary practice location
1807 Wilshire Blvd Ste 200
Santa Monica, CA 90403-5795
Mailing address
4111 Terraza Dr
Los Angeles, CA 90008-1040
Phone (310) 703-3419
Other practice location 1
4111 Terraza Dr
Los Angeles, CA 90008-1040
Phone (310) 703-3419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83-3756085 | Medicaid | CA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553817600000",
"number": "1669946349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4111 TERRAZA DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900081040",
"telephone_number": "310-703-3419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1807 WILSHIRE BLVD STE 200",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904035795",
"telephone_number": "310-703-3419"
}
],
"practiceLocations": [
{
"address_1": "4111 Terraza Dr",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900081040",
"country_code": "US",
"telephone_number": "310-703-3419",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEHIKEESH",
"first_name": "ROSTAM",
"credential": "MD(IR), LAC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-16",
"last_updated": "2019-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "18355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "83-3756085",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.