Individual provider Active NPI

Farideh Farid Bahrami, RNP

  • Nurse Practitioner
  • Signal Hill, CA
National Provider Identifier
1083675821
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11375 Issued in CA
Practice address
2855 Temple Ave Ste B
Signal Hill, CA 90755-2212
Phone
(562) 426-7500
Fax
(562) 424-9588
NPI assigned
Mar 31, 2006
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11375 CA Primary

Addresses

Primary practice location

2855 Temple Ave Ste B
Signal Hill, CA 90755-2212

Mailing address

31216 Flying Cloud Dr
Laguna Niguel, CA 92677-2716
Phone (949) 233-7049

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
I20040226000329 CA Practitioner - Nurse Practitioner 1759277676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ab Safe Haven Palliative and Hospice Care IncGroup PAC ID 8921285727, 4 clinicians

Practice addresses (Care Compare)

2855 Temple Ave
Suite B
Signal Hill, CA 90755-2212
Phone 5624267500427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11375CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Family Medicine GP CurrentSince Dec 9, 2014 Accepting new patients
Ab Safe Haven Palliative & Hospice Care, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Monarch Healthcare, a Medical Group, Inc. Past Accepting new patients
GN Medical Associates, Inc. PastSince Apr 1, 2007 Accepting new patients

Locations

11 Technology Dr
Irvine, CA 92618
Phone (855) 206-6764

3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599

2855 Temple Ave
Ste B
Signal Hill, CA 90755
Phone (562) 426-7500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1083675821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31216 FLYING CLOUD DR",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772716",
            "telephone_number": "949-233-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 TEMPLE AVE STE B",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552212",
            "telephone_number": "562-426-7500",
            "fax_number": "562-424-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHRAMI",
        "first_name": "FARIDEH",
        "middle_name": "FARID",
        "credential": "RNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "11375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Signal Hill, CA

Sources for this page

Verify at the official NPI Registry.