Active NPI
Avishan Saberian, LAC
- Acupuncturist
- Centralia, WA
National Provider Identifier
1972098671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC60869961
- Practice address
- 110 W Maple Stree
Centralia, WA 98531 - Phone
- (360) 868-5025
- Fax
- (360) 868-5025
- NPI assigned
- Jun 25, 2018
- Sex
- Female
- Sole proprietor
- No
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 | AC60869961 | WA | Primary |
Addresses
Primary practice location
110 W Maple Stree
Centralia, WA 98531
Mailing address
110 W Maple Street
Centralia, WA 98531
Phone (360) 868-4421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC60869961 | Other | WA | LICENSE |
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 |
|---|---|---|---|
| AC60869961 | WA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1972098671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W MAPLE STREET",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "98531",
"telephone_number": "360-868-4421",
"fax_number": "360-299-5025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W MAPLE STREE",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "98531",
"telephone_number": "360-868-5025",
"fax_number": "360-868-5025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABERIAN",
"first_name": "AVISHAN",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-25",
"last_updated": "2022-05-19",
"certification_date": "2022-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC60869961",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "AC60869961",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Centralia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.