Individual provider Active NPI

Nasimeh Yazdani, M.D.

  • Nephrology Physician
  • Santa Monica, CA
National Provider Identifier
1154376580
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A90937 Issued in CA
Practice address
2319 Wilshire Blvd
Santa Monica, CA 90403-5801
Phone
(310) 393-5000
Fax
(310) 393-5007
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A90937 CA Primary

Addresses

Primary practice location

2319 Wilshire Blvd
Santa Monica, CA 90403-5801

Mailing address

2319 Wilshire Blvd
Santa Monica, CA 90403-5801
Phone (310) 393-5000

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061003000629 CA Practitioner - NephrologyPractitioner - Internal Medicine 4688679244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1250 16TH St
Santa Monica, CA 90404-1249
Phone (310) 319-4000

2319 Wilshire Blvd
Santa Monica, CA 90403-5801
Phone (310) 393-5000

Hospital & facility affiliations

  • DaVita Santa Monica Dialysis Dialysis facility, Santa Monica, CA, CCN 052665
  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290
  • Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Hospital, Santa Monica, CA, CCN 050112
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A90937CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nasimeh Yazdani, MD, PC Internal Medicine CurrentSince Feb 11, 2009 Accepting new patients

Locations

4619 Rosemead Blvd
Rosemead, CA 91770
Phone (626) 286-1191

2001 Santa Monica Blvd
Ste 765W
Santa Monica, CA 90404
Phone (310) 393-5000

1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695

2319 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 393-5000

Interoperability endpoints

  • Direct secure messaging: dryazdani@directaddress.net
  • Direct secure messaging: nasimeh.yazdani.1@27602.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1154376580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035801",
            "telephone_number": "310-393-5000",
            "fax_number": "310-393-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035801",
            "telephone_number": "310-393-5000",
            "fax_number": "310-393-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAZDANI",
        "first_name": "NASIMEH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A90937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.