NPI Code Detail JSON Logo

1922554807 NPI number — ARASH BRIAN NASSIRI

NPI Number: 1922554807
Health Care Provider/Practitioner: ARASH BRIAN NASSIRI

Information about “1922554807” NPI (ARASH BRIAN NASSIRI) exists in 1922554807 in HTML format HTML  |  1922554807 in plain Text format TXT  |  1922554807 in PDF (Portable Document Format) PDF  |  1922554807 in an XML format XML  formats.

NPI Number : 1922554807 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922554807",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NASSIRI",
    "FirstName": "ARASH",
    "MiddleName": "BRIAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "NASSIRI",
    "OtherFirstName": "ARY",
    "OtherMiddleName": "BRIAN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "25781 MAPLE VIEW DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAGUNA HILLS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92653-7549",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "949-505-2948",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "204 HAMPTON DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VENICE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90291-2623",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-396-6468",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/30/2016",
    "LastUpdateDate": "07/21/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "78209",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.