Organization Active NPI

Farhad Nikoo Inc

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Lake Forest, CA
National Provider Identifier
1194289868
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
Legal business name
FARHAD NIKOO INC
Practice address
23832 Rockfield Blvd Ste 120
Lake Forest, CA 92630-2870
Phone
(714) 769-6090
NPI assigned
Jan 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Farhad Ghasemi Nikoo
Title
Pmhnp
Phone
(714) 769-6090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0808X Primary

Addresses

Primary practice location

23832 Rockfield Blvd Ste 120
Lake Forest, CA 92630-2870

Mailing address

23832 Rockfield Blvd Ste 120
Lake Forest, CA 92630-2870
Phone (714) 769-6090

National Provider Directory

National Provider Directory

Locations

2082 Business Center Dr
Ste 255
Irvine, CA 92612
Phone (714) 769-6090

Practitioners & affiliated clinicians

Practitioners 2

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": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1194289868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23832 ROCKFIELD BLVD STE 120",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302870",
            "telephone_number": "714-769-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23832 ROCKFIELD BLVD STE 120",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302870",
            "telephone_number": "714-769-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARHAD NIKOO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "NIKOO",
        "authorized_official_first_name": "FARHAD",
        "authorized_official_middle_name": "GHASEMI",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "714-769-6090"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.