NPIMap

Organization Active NPI

Nima Fahimian MD Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
National Provider Identifier
1144879149
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NIMA FAHIMIAN MD INC
Practice address
12381 Wilshire Blvd Ste 205
Los Angeles, CA 90025-1063
Phone
(833) 867-2329
Fax
(833) 867-3757
NPI assigned
Sep 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Ms. Thi Hoang
Title
Business Office
Phone
(702) 205-8232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

12381 Wilshire Blvd Ste 205
Los Angeles, CA 90025-1063

Mailing address

112 Via Sego
Redondo Beach, CA 90277-6429
Phone (310) 990-6507

Other names 1

  • Tulaya Health Other name

National Provider Directory

National Provider Directory

Locations

250 E 1st St
Ste 300
Los Angeles, CA 90012
Phone (323) 455-8080

800 Wilshire Blvd
Ste 530
Los Angeles, CA 90017
Phone (213) 894-9696

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1144879149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 VIA SEGO",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902776429",
            "telephone_number": "310-990-6507",
            "fax_number": "424-238-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12381 WILSHIRE BLVD STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251063",
            "telephone_number": "833-867-2329",
            "fax_number": "833-867-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIMA FAHIMIAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "THI",
        "authorized_official_title_or_position": "BUSINESS OFFICE",
        "authorized_official_telephone_number": "702-205-8232",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tulaya Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Tulaya Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.