Individual provider Active NPI

Kiumars Pharrahpur, L.AC.

  • Acupuncturist
  • Encino, CA
National Provider Identifier
1811928104
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC9014 Issued in CA
Practice address
17200 Ventura Blvd
212
Encino, CA 91316-4005
Phone
(818) 995-4488
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC9014 CA Primary

Addresses

Primary practice location

17200 Ventura Blvd
212
Encino, CA 91316-4005

Mailing address

5736 Las Virgenes Rd
102
Calabasas, CA 91302-2633
Phone (818) 486-9658

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
AC9014CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811928104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5736 LAS VIRGENES RD",
            "address_2": "102",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913022633",
            "telephone_number": "818-486-9658",
            "fax_number": "760-564-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 VENTURA BLVD",
            "address_2": "212",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164005",
            "telephone_number": "818-995-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHARRAHPUR",
        "first_name": "KIUMARS",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • 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.