Individual provider Active NPI

Lily Afshar, FNP-C

  • Family Nurse Practitioner
  • Corona, CA
National Provider Identifier
1083436133
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9521096 Issued in CA
Practice address
1307 W 6TH St Ste 105
Corona, CA 92882-1644
Phone
(951) 482-9183
Fax
(888) 873-6220
NPI assigned
Oct 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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 9521096 CA Primary

Addresses

Primary practice location

1307 W 6TH St Ste 105
Corona, CA 92882-1644

Mailing address

1307 W 6TH St Ste 105
Corona, CA 92882-1644
Phone (951) 482-9183

Other practice location 1

160 N Date St
Escondido, CA 92025-3406
Phone (888) 873-6220

Other practice location 2

24910 Las Brisas Rd Ste 121
Murrieta, CA 92562-4035
Phone (951) 482-9183

Other practice location 3

14390 Civic Dr
Victorville, CA 92392-9709
Phone (951) 482-9183

Other practice location 4

2776 Pacific Ave
Long Beach, CA 90806-2613
Phone (562) 997-2000

Other names 1

  • Ms. Lily Bakeshlou Afshar Other name

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
I20250423000638 CA Practitioner - Nurse Practitioner 7416472311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharwin Tafazoli IncGroup PAC ID 8729416953, 59 clinicians

Practice addresses (Care Compare)

3828 Delmas Ter
Culver City, CA 90232-2713
Phone (310) 836-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95032780CAMDRegistered Nurse
9521096CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Celebrating Life Community Health Center Current Accepting new patients
Sharwin Tafazoli Inc CurrentSince Jan 10, 2026 Accepting new patients

Locations

3828 Delmas Ter
Culver City, CA 90232
Phone (310) 202-4745

4343 N Sierra Way
Sn Bernrdno, CA 92407
Phone (909) 886-4731

Interoperability endpoints

  • Direct secure messaging: lilyafshar@clchc.allscriptsdirect.net

Organizations & group practices 2

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": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1083436133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 W 6TH ST STE 105",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928821644",
            "telephone_number": "951-482-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 W 6TH ST STE 105",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928821644",
            "telephone_number": "951-482-9183",
            "fax_number": "888-873-6220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 N Date St",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920253406",
            "country_code": "US",
            "telephone_number": "888-873-6220",
            "fax_number": "888-873-6220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24910 Las Brisas Rd Ste 121",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925624035",
            "country_code": "US",
            "telephone_number": "951-482-9183",
            "fax_number": "888-873-6220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14390 Civic Dr",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923929709",
            "country_code": "US",
            "telephone_number": "951-482-9183",
            "fax_number": "951-482-9183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2776 Pacific Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908062613",
            "country_code": "US",
            "telephone_number": "562-997-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AFSHAR",
        "first_name": "LILY",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "9521096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILY",
            "last_name": "BAKESHLOU AFSHAR",
            "prefix": "MS.",
            "credential": "FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.