Individual provider Active NPI

Christine Wahidi, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Claremont, CA
National Provider Identifier
1023756681
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95034430 Issued in CA
Practice address
1935 Frostburg Cir
Claremont, CA 91711-2977
Phone
(909) 624-7070
NPI assigned
May 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95203549 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95034430 CA Primary

Addresses

Primary practice location

1935 Frostburg Cir
Claremont, CA 91711-2977

Mailing address

890 Viewpoint St
Upland, CA 91784-8032
Phone (909) 506-9334

Other names 1

  • Christine Zeidan Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://brr11143.kipuworks.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250703003447 CA Practitioner - Nurse Practitioner 1355855172 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optima Health CorpGroup PAC ID 3779911466, 32 clinicians

Practice addresses (Care Compare)

3634 Elizabeth St
Riverside, CA 92506-2506
Phone (951) 788-0008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Marriage & Family Therapy Services, Inc. CurrentSince May 29, 2022 Accepting new patients
Optima Health Corp CurrentSince May 12, 2025 Accepting new patients

Locations

3634 Elizabeth St
Riverside, CA 92506
Phone (951) 341-8930

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEGFAD

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1023756681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 VIEWPOINT ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917848032",
            "telephone_number": "909-506-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 FROSTBURG CIR",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112977",
            "telephone_number": "909-624-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHIDI",
        "first_name": "CHRISTINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95203549",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95034430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://brr11143.kipuworks.com/",
            "affiliation": "N",
            "address_1": "1935 Frostburg Cir",
            "city": "Claremont",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917112977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "ZEIDAN",
            "credential": "PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Claremont, CA

Sources for this page

Verify at the official NPI Registry.