Active NPI
Negar Taslimi, PSYD
- Psychologist
- Tustin, CA
National Provider Identifier
1093969883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY29115
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200422001392 | CA | Practitioner - Clinical Psychologist | 1254761828 | Practice locations: Tustin, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY29115 | CA | MD | Psychologist |
| 29115 | CA | MD | Speech-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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.