Individual provider Active NPI

Tania Parhami, FNP-C

  • Family Nurse Practitioner
  • Victorville, CA
National Provider Identifier
1205465994
Registry record updated Dec 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95013658 Issued in CA
Practice address
14350 Civic Dr Ste 180
Victorville, CA 92392-2348
Phone
(213) 566-0608
NPI assigned
Apr 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95013658 CA
Family Nurse Practitioner 363LF0000X 95013658 CA Primary

Addresses

Primary practice location

14350 Civic Dr Ste 180
Victorville, CA 92392-2348

Mailing address

11150 W Olympic Blvd Suite 1050
#642
Los Angeles, CA 90064-1850

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210708001914 CA Practitioner - Nurse Practitioner 3779985031 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95013658CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic Medical Group of California Inc Family CurrentSince Mar 27, 2021 Accepting new patients
Apogee Health Solutions LPC CurrentSince Jan 13, 2024 Accepting new patients

Locations

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

5750 Division St
Ste 204
Riverside, CA 92506

5750 Division St
Ste 208
Riverside, CA 92506
Phone (951) 267-6363

1900 19th Ave
San Francisco, CA 94116
Phone (415) 664-1834

8491 Santa Monica Blvd
West Hollywood, CA 90069
Phone (310) 360-7303

2791 Agoura Rd
Westlake Village, CA 91361
Phone 8054954938 ext. 8221

Organizations & group practices 2

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": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766620800000",
    "number": "1205465994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 W OLYMPIC BLVD SUITE 1050",
            "address_2": "#642",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14350 CIVIC DR STE 180",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922348",
            "telephone_number": "213-566-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARHAMI",
        "first_name": "TANIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2025-12-25",
        "certification_date": "2025-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95013658",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.