Individual provider Active NPI

Nazanin Minouei, PTA

  • Physical Therapy Assistant
  • Orange, CA
National Provider Identifier
1700298965
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
AT 10192 Issued in CA
Practice address
1045 N. Tustin Ave
Orange, CA 92867
Phone
(714) 288-8303
Fax
(714) 744-8153
NPI assigned
May 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X AT 10192 CA Primary
Physical Therapy Assistant 225200000X A 3354 MD

Addresses

Primary practice location

1045 N. Tustin Ave
Orange, CA 92867

Mailing address

1045 N. Tustin Ave
Orange, CA 92867
Phone (714) 288-8303

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

LicenseStateTypeSpecialty
AT 10192CAMDPhysical Therapy Assistant
A 3354MDMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1700298965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 N. TUSTIN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92867",
            "telephone_number": "714-288-8303",
            "fax_number": "714-744-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 N. TUSTIN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92867",
            "telephone_number": "714-288-8303",
            "fax_number": "714-744-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOUEI",
        "first_name": "NAZANIN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT 10192",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A 3354",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.