Active NPI
Desiree Mehrabian, RN, CDE
- Diabetes Educator Registered Nurse
- San Jose, CA
National Provider Identifier
1164780086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- RN488865
- Practice address
- 2211 Moorpark Ave
Suite 218
San Jose, CA 95128-2654 - Phone
- (408) 998-2325
- Fax
- (408) 998-2022
- NPI assigned
- Apr 28, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | RN488865 | CA | Primary |
Addresses
Primary practice location
2211 Moorpark Ave
Suite 218
San Jose, CA 95128-2654
Mailing address
2211 Moorpark Ave
Suite 218
San Jose, CA 95128-2654
Phone (408) 998-2325
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN488865 | CA | MD | Diabetes Educator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Community Diabetes Educators LLC | Diabetes Educator | Past | Accepting new patients |
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.
-
dba Bay Area CDE
- Registered Dietitian
- San Jose, CA
- NPI 1902132806
Diabetes Educator
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335571200000",
"number": "1164780086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 MOORPARK AVE",
"address_2": "SUITE 218",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282654",
"telephone_number": "408-998-2325",
"fax_number": "408-998-2022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 MOORPARK AVE",
"address_2": "SUITE 218",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282654",
"telephone_number": "408-998-2325",
"fax_number": "408-998-2022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHRABIAN",
"first_name": "DESIREE",
"credential": "RN, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-28",
"last_updated": "2012-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "CA",
"license": "RN488865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.