Individual provider Active NPI

Rostam Behikeesh, MD(IR), LAC.

  • Acupuncturist
  • Santa Monica, CA
National Provider Identifier
1669946349
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
18355 Issued in CA
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

Updated by the provider on Mar 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
83-3756085MedicaidCA

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.

Verify at the official NPI Registry.