Organization Active NPI

Sina Medical Group

  • Chiropractor
  • Santa Ana, CA
National Provider Identifier
1730499799
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26980 Issued in CA
Legal business name
SINA MEDICAL GROUP
Practice address
1125 E 17TH St Ste N461
Santa Ana, CA 92701-2270
Phone
(714) 972-2200
NPI assigned
Oct 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
Mrs. Mandana Mousavi, D.C.
Title
President
Phone
(714) 972-2200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC26980 CA Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 20A6766 KS

Addresses

Primary practice location

1125 E 17TH St Ste N461
Santa Ana, CA 92701-2270

Mailing address

1125 E 17TH St Ste N461
Santa Ana, CA 92701-2270
Phone (714) 972-2200

National Provider Directory

National Provider Directory

Locations

1125 E 17th St
Ste N461
Santa Ana, CA 92701
Phone (714) 972-2200

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1730499799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST STE N461",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012270",
            "telephone_number": "714-972-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST STE N461",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012270",
            "telephone_number": "714-972-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "MOUSAVI",
        "authorized_official_first_name": "MANDANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-972-2200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26980",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "20A6766",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.