Organization Active NPI

Medi Soothe LLC

  • Diplomate Laboratory Management Specialist/Technologist
  • Costa Mesa, CA
National Provider Identifier
1043184666
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diplomate Laboratory Management Specialist/TechnologistTaxonomy code 246QL0901X
Legal business name
MEDI SOOTHE LLC
Practice address
3330 Harbor Blvd Office 308
Costa Mesa, CA 92626
Phone
(312) 523-3848
NPI assigned
Oct 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Abdul Naser Bin Abdul Rahman
Title
Owner
Phone
(312) 523-3848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diplomate Laboratory Management Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246QL0901X Primary

Addresses

Primary practice location

3330 Harbor Blvd Office 308
Costa Mesa, CA 92626

Mailing address

2945 Townsgate Rd Ste 200
Westlake Village, CA 91361-5866
Phone (312) 523-3848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260624000772 CA Part B Supplier - Independent Clinical Laboratory 7719450543 Practice locations: Westlake VLG, CA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1043184666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 TOWNSGATE RD STE 200",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615866",
            "telephone_number": "312-523-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 HARBOR BLVD OFFICE 308",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92626",
            "telephone_number": "312-523-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI SOOTHE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "ABDUL RAHMAN",
        "authorized_official_first_name": "ABDUL NASER BIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-523-3848"
    },
    "taxonomies": [
        {
            "code": "246QL0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management, Diplomate",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.