Individual provider Active NPI

Yasmin Bahrami, NP

  • Family Nurse Practitioner
  • Santa Clarita, CA
National Provider Identifier
1073162012
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95012760 Issued in CA
Practice address
19231 Soledad Canyon Rd
Santa Clarita, CA 91351-3367
Phone
(661) 260-3155
NPI assigned
Sep 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95012760 CA Primary

Addresses

Primary practice location

19231 Soledad Canyon Rd
Santa Clarita, CA 91351-3367

Mailing address

19231 Soledad Canyon Rd
Santa Clarita, CA 91351-3367
Phone (661) 260-3155

Other practice location 1

23838 Valencia Blvd Ste 205
Valencia, CA 91355-5638
Phone (661) 288-2237

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
I20210908002953 CA Practitioner - Nurse Practitioner 1355747825 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SC Medical, Inc. CurrentSince May 3, 2023 Accepting new patients
SC Medical, Inc. CurrentSince May 3, 2023 Accepting new patients
Rabin Nikjoo, M.D., Inc. CurrentSince Mar 1, 2022 Accepting new patients

Locations

19042 Soledad Canyon Rd
Santa Clarita, CA 91351
Phone (661) 251-6300

18751 Ventura Blvd
Ste 100
Tarzana, CA 91356
Phone (818) 213-1693

27550 Newhall Ranch Rd
Ste 203
Valencia, CA 91355
Phone (661) 251-6300

Organizations & group practices 4

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": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1073162012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19231 SOLEDAD CANYON RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913513367",
            "telephone_number": "661-260-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19231 SOLEDAD CANYON RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913513367",
            "telephone_number": "661-260-3155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23838 Valencia Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913555638",
            "country_code": "US",
            "telephone_number": "661-288-2237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAHRAMI",
        "first_name": "YASMIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.