Individual provider Active NPI

Negar Taslimi, PSYD

  • Psychologist
  • Tustin, CA
National Provider Identifier
1093969883
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY29115 Issued in CA
Practice address
17671 Irvine Blvd
Tustin, CA 92780-3150
Phone
(949) 478-5763
NPI assigned
Nov 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY29115 CA Primary

Addresses

Primary practice location

17671 Irvine Blvd
Tustin, CA 92780-3150

Mailing address

106 Oasis
Irvine, CA 92620-7315
Phone (949) 929-6269

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200422001392 CA Practitioner - Clinical Psychologist 1254761828 Practice locations: Tustin, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY29115CAMDPsychologist
29115CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1093969883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 OASIS",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926207315",
            "telephone_number": "949-929-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17671 IRVINE BLVD",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803150",
            "telephone_number": "949-478-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASLIMI",
        "first_name": "NEGAR",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY29115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.