Individual provider Active NPI

Sharmin Hussain Nabi, MD

  • Psychiatry Physician
  • Mission Viejo, CA
National Provider Identifier
1164050597
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A195619 Issued in CA
Practice address
26024 Acero
Mission Viejo, CA 92691-2768
Phone
(714) 545-5550
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A195619 CA Primary

Addresses

Primary practice location

26024 Acero
Mission Viejo, CA 92691-2768

Mailing address

4668 Corte Mar del Corazon
San Diego, CA 92130-2692
Phone (562) 287-9630

Other practice location 1

3151 Airway Ave Ste G1
Costa Mesa, CA 92626-4624
Phone (714) 545-5550

Other practice location 2

19671 Beach Blvd Ste 215
Huntington Beach, CA 92648-5903
Phone (714) 545-5550

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
I20241002001541 CA Practitioner - Psychiatry 0143646091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Texas Tech University Health Science Center School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TP-Health Ca PCGroup PAC ID 9638592082, 3 clinicians

Practice addresses (Care Compare)

201 E Ctr St
Suite 112
Anaheim, CA 92805-7212
Phone (832) 916-2677

4668 Corte Mar del Corazon
San Diego, CA 92130-2692
Phone (562) 287-9630

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A195619CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Photic Mood & Anxiety Care LLC Psychiatry CurrentSince Dec 1, 2025 Accepting new patients
TP-Health Ca PC Psychiatry CurrentSince Jan 1, 2025 Accepting new patients
Hoag Hospital PastSince Sep 12, 2024 Accepting new patients
TP-Health Incorporated Psychiatry Past Accepting new patients

Locations

201 E Center St
Ste 112
Anaheim, CA 92805
Phone (832) 916-2677

11120 E Ocean Air Dr
San Diego, CA 92130

4810 Riverstone Blvd
Ste 1
Missouri City, TX 77459

4810 Riverstone Blvd
Ste 100
Missouri City, TX 77459
Phone (832) 916-2677

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1164050597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4668 CORTE MAR DEL CORAZON",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302692",
            "telephone_number": "562-287-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26024 ACERO",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912768",
            "telephone_number": "714-545-5550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3151 Airway Ave Ste G1",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926264624",
            "country_code": "US",
            "telephone_number": "714-545-5550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19671 Beach Blvd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926485903",
            "country_code": "US",
            "telephone_number": "714-545-5550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NABI",
        "first_name": "SHARMIN",
        "middle_name": "HUSSAIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A195619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.