Jenine Alexandra Rahman, NP, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95017608 Issued in CA

Practice address

13320 Riverside Dr Ste 204
Sherman Oaks, CA 91423-2512

Phone

(818) 821-3535

NPI assigned

Apr 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

University of Toledo College of Medicine, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• I Ready Medical Center Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Burbank, CA
  • NPI 1104628148
  Medicare reassignment NPD
• La Family Medical Group Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Burbank, CA
  • NPI 1164391009
  NPD
• Trust Care Medical Center Inc

  • Adult Medicine Physician
  • Burbank, CA
  • NPI 1740175561
  NPD

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1114613403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13320 RIVERSIDE DR STE 204",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13320 RIVERSIDE DR STE 204",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232512",
            "telephone_number": "818-821-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "JENINE",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "NP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nasim Holly Raeisi
• Anna Rafaelian
• Raffi R Barsam DMD Cosmetic and General Dentistry
• Saloumeh Rahbarvafaei, N.P.
• Gagandeep Singh Rahi, M.D.
• Smaila Tipu Rahman, SMAILA RAHMAN
• Artemis Rahmati
• Katja Thekla Ralph
• Ralphs Grocery Company
• Ralphs Grocery Company

• Family Nurse Practitioner in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.