Active NPI
Mahnaz Tafreshi, ACUPUNCTURIEST
- Acupuncturist
- Pomona, CA
National Provider Identifier
1679588016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC9010
- Practice address
- 502 Holt Avenue
Pomona, CA 91768 - Phone
- (909) 620-5699
- Fax
- (909) 620-5799
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- No
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 | AC9010 | CA | Primary |
Addresses
Primary practice location
502 Holt Avenue
Pomona, CA 91768
Mailing address
39 Parremo
Mission Viejo, CA 92692
Phone (949) 581-8542
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC0090100 | Other | CA | MEDICAL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC9010 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679588016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 PARREMO",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "92692",
"telephone_number": "949-581-8542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 HOLT AVENUE",
"city": "POMONA",
"state": "CA",
"postal_code": "91768",
"telephone_number": "909-620-5699",
"fax_number": "909-620-5799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAFRESHI",
"first_name": "MAHNAZ",
"credential": "ACUPUNCTURIEST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC9010",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "AC0090100",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- 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.