FM Diagnostic Center Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FM DIAGNOSTIC CENTER INC.

Practice address

999 N Tustin Ave
Suite 101
Santa Ana, CA 92705-3528

Phone

(714) 543-3345

Fax

(714) 543-5595

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael MousaviNPI 1063597623

Title

President

Phone

(714) 543-3345

Specialties & licenses 1

Addresses

Other names 1

• Aspen Physical Therapy and Rehab Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael M. Mousavi, D.C., Q.M.E.

  • Chiropractor
  • Santa Ana, CA
  • NPI 1063597623
  NPD (past) Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700930245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE",
            "address_2": "SUITE 101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053528",
            "telephone_number": "714-543-3345",
            "fax_number": "714-543-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE",
            "address_2": "SUITE 101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053528",
            "telephone_number": "714-543-3345",
            "fax_number": "714-543-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FM DIAGNOSTIC CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOUSAVI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-543-3345",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Physical Therapy and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Randy Fong, D.D.S.
• Cherry Anne Fontela, BSN, RN, PHN
• Amy Marie Fontenot

• Physical Therapist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.