Individual provider Active NPI

Aida Marie Souleiman, NURSE PRACTITIONER

  • Nurse Practitioner
  • Carson, CA
National Provider Identifier
1205427150
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95014988 Issued in CA
Practice address
441 E Carson St Ste K
Carson, CA 90745-7713
Phone
(949) 413-1955
NPI assigned
Feb 2, 2021
Last updated
Jul 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95014988 CA Primary

Addresses

Primary practice location

441 E Carson St Ste K
Carson, CA 90745-7713

Mailing address

552 E Carson St
Carson, CA 90745-2887
Phone (949) 413-1955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MA, NJ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220627001780 CA Practitioner - Nurse Practitioner 6507245263 Reassigns benefits to 5 organizations
I20250102001410 MA Practitioner - Nurse Practitioner 6507245263 Reassigns benefits to 1 organization
I20250926000676 NJ Practitioner - Nurse Practitioner 6507245263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
I Ready Medical Center IncGroup PAC ID 7719499763, 3 clinicians
Riverside Optimal Healthcare, IncGroup PAC ID 6800207853, 2 clinicians

Practice addresses (Care Compare)

1411 W Olive Ave
Suite B
Burbank, CA 91506-2400
Phone (818) 821-3535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
I Ready Medical Center Inc CurrentSince May 1, 2025 Accepting new patients
Plover Inpatient Services LLC Nurse Practitioner CurrentSince Aug 10, 2025 Accepting new patients
La Family Medical Group Inc CurrentSince Nov 20, 2025 Accepting new patients
Sound Physicians of Massachusetts, Inc Nurse Practitioner CurrentSince Nov 11, 2024 Accepting new patients
Riverside Optimal Healthcare, Inc CurrentSince Jan 1, 2025 Accepting new patients
Van Nuys Family Medical Clinic Inc CurrentSince Nov 17, 2025 Accepting new patients
Trust Care Medical Center Inc CurrentSince Jun 2, 2025 Accepting new patients
Sound Physicians of Massachusetts Inc CurrentSince Nov 11, 2024 Accepting new patients
West Coast Foot and Ankle Institute PC CurrentSince Oct 20, 2025 Accepting new patients
Hollywood Presbyterian Emergency Medical Associates, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Family Quality Medical Center Inc CurrentSince May 7, 2026 Accepting new patients

Locations

1411 W Olive Ave
Ste B
Burbank, CA 91506
Phone (818) 317-3736

1411 W Olive Ave
Ste D
Burbank, CA 91506
Phone (818) 821-3535

1411 W Olive Ave
Ste E
Burbank, CA 91506
Phone (747) 247-2091

519 S Victory Blvd
Burbank, CA 91502
Phone (818) 861-7333

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

15251 Roscoe Blvd
Panorama City, CA 91402
Phone (818) 602-4477

15243 Vanowen St
Ste 403
Van Nuys, CA 91405
Phone (818) 809-2036

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1205427150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 E CARSON ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452887",
            "telephone_number": "949-413-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 E CARSON ST STE K",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907457713",
            "telephone_number": "949-413-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOULEIMAN",
        "first_name": "AIDA",
        "middle_name": "MARIE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95014988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

Verify at the official NPI Registry.