Individual provider Active NPI

Parvaneh Moradi Khorshidian, RN.MSN

  • Registered Nurse
  • Sacramento, CA
National Provider Identifier
1144529991
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
357854 Issued in CA
Practice address
2288 Auburn Blvd Ste 205
Sacramento, CA 95821-1620
Phone
(916) 973-5541
Fax
(916) 973-6565
NPI assigned
Mar 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 357854 CA Primary

Addresses

Primary practice location

2288 Auburn Blvd Ste 205
Sacramento, CA 95821-1620

Mailing address

2288 Auburn Blvd Ste 205
Sacramento, CA 95821-1620
Phone (916) 973-5541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
357854CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1144529991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2288 AUBURN BLVD STE 205",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958211620",
            "telephone_number": "916-973-5541",
            "fax_number": "916-973-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2288 AUBURN BLVD STE 205",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958211620",
            "telephone_number": "916-973-5541",
            "fax_number": "916-973-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHORSHIDIAN",
        "first_name": "PARVANEH",
        "middle_name": "MORADI",
        "name_prefix": "Mrs.",
        "credential": "RN.MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "357854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.