Active NPI
Farnam Shah Vir, L.AC
- Acupuncturist
- Tarzana, CA
National Provider Identifier
1831533363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 15216
- Practice address
- 5620 Wilbur Ave Ste 214
Tarzana, CA 91356-1309 - Phone
- (310) 597-0978
- NPI assigned
- Apr 26, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 15216 | CA | Primary |
Addresses
Primary practice location
5620 Wilbur Ave Ste 214
Tarzana, CA 91356-1309
Mailing address
22055 Costanso St Apt C
Woodland Hills, CA 91364-1653
Phone (310) 597-0978
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC 15216 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366934400000",
"number": "1831533363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22055 COSTANSO ST APT C",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913641653",
"telephone_number": "310-597-0978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5620 WILBUR AVE STE 214",
"city": "TARZANA",
"state": "CA",
"postal_code": "913561309",
"telephone_number": "310-597-0978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH VIR",
"first_name": "FARNAM",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-26",
"last_updated": "2013-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 15216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.