Individual provider Active NPI

Amir Faramarz Zagross, L.AC.

  • Acupuncturist
  • Santa Monica, CA
National Provider Identifier
1780728295
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC4394 Issued in CA
Practice address
1223 Wilshire Blvd
Suite 1605
Santa Monica, CA 90403-5400
Phone
(310) 826-2238
Fax
(310) 496-3047
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC4394 CA Primary

Addresses

Primary practice location

1223 Wilshire Blvd
Suite 1605
Santa Monica, CA 90403-5400

Mailing address

1223 Wilshire Blvd
Suite 1605
Santa Monica, CA 90403-5400
Phone (310) 826-2238

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
AC4394CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1780728295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 WILSHIRE BLVD",
            "address_2": "SUITE 1605",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035400",
            "telephone_number": "310-826-2238",
            "fax_number": "310-496-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 WILSHIRE BLVD",
            "address_2": "SUITE 1605",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035400",
            "telephone_number": "310-826-2238",
            "fax_number": "310-496-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGROSS",
        "first_name": "AMIR",
        "middle_name": "FARAMARZ",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC4394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.