Individual provider Active NPI

Ella Ashabi, PHD MS BS DOM

  • Acupuncturist
  • Lake Forest, CA
National Provider Identifier
1821164450
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
LAC5665 Issued in CA
Practice address
23722 Birtcher Dr
Lake Forest, CA 92630-1771
Phone
(949) 344-9707
NPI assigned
Nov 27, 2006
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X LAC5665 CA Primary

Addresses

Primary practice location

23722 Birtcher Dr
Lake Forest, CA 92630-1771

Mailing address

12921 Fairhaven Ext
Santa Ana, CA 92705-1357
Phone (949) 955-9499

Other identifiers 1

IdentifierTypeStateIssuer
5665MedicaidCA

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
Credentials
Bachelor of Science, Master of Science, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LAC5665CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Par Plus, Inc. Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Ella Ashabi Acupuncture Inc. Acupuncturist PastSince Sep 20, 2020 Accepting new patients
Advance Occupational & Hand Therapy Center Past Accepting new patients
Pirate Acupuncture Inc Acupuncturist PastSince Mar 6, 2022 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1821164450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12921 FAIRHAVEN EXT",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927051357",
            "telephone_number": "949-955-9499",
            "fax_number": "949-916-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23722 BIRTCHER DR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301771",
            "telephone_number": "949-344-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHABI",
        "first_name": "ELLA",
        "name_prefix": "Mrs.",
        "credential": "PHD MS BS DOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "LAC5665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5665",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.