Organization Active NPI

Qazizada Multicultural Therapy Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orange, CA
National Provider Identifier
1902632540
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
QAZIZADA MULTICULTURAL THERAPY CLINIC
Practice address
2854 N Santiago Blvd Ste 200
Orange, CA 92867-1700
Phone
(310) 985-3845
NPI assigned
Sep 10, 2024
Last updated
Sep 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Wali Abdul Hanifzai, MSWNPI 1326514290
Title
Executive Director
Phone
(310) 985-3845

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

2854 N Santiago Blvd Ste 200
Orange, CA 92867-1700

Mailing address

2854 N Santiago Blvd Ste 200
Orange, CA 92867-1700
Phone (310) 985-3845

Other names 1

  • Qazizada Multicultural Therapy Clinic Former legal business name

National Provider Directory

National Provider Directory

Locations

2854 N Santiago Blvd
Ste 200
Orange, CA 92867
Phone (310) 985-3845

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1902632540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2854 N SANTIAGO BLVD STE 200",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928671700",
            "telephone_number": "310-985-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2854 N SANTIAGO BLVD STE 200",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928671700",
            "telephone_number": "310-985-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QAZIZADA MULTICULTURAL THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "HANIFZAI",
        "authorized_official_first_name": "WALI",
        "authorized_official_middle_name": "ABDUL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-985-3845",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Qazizada Multicultural Therapy Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.