Mahboubeh Shamaeizadeh, ACUPUNCTURE

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

10175 Issued in CA

Practice address

19474Rinaldist
Nosuite
Northridge, CA 91326

Phone

(818) 831-0100

Fax

(818) 831-0135

NPI assigned

May 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679788236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19474 RINALDI ST",
            "address_2": "NOSUIT",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913261646",
            "telephone_number": "818-831-0100",
            "fax_number": "818-831-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19474RINALDIST",
            "address_2": "NOSUITE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "91326",
            "telephone_number": "818-831-0100",
            "fax_number": "818-831-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMAEIZADEH",
        "first_name": "MAHBOUBEH",
        "credential": "ACUPUNCTURE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "10175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Northridge, CA
• Providers in Northridge, CA by specialty
• Acupuncturist in California

• 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.

Verify at the official NPI Registry.