Active NPI
Soheyla Talebimarandi, M.D.
- Psychiatry Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A118460
- Practice address
- 3853 Rosecrans Street
San Diego County Psychiatric Hospital
San Diego, CA 92110 - Phone
- (619) 692-8232
- Fax
- (619) 542-4060
- NPI assigned
- Jun 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2007015737 | MO | |
| Psychiatry Physician | 2084P0800X | A118460 | CA | Primary |
Addresses
Primary practice location
3853 Rosecrans Street
San Diego County Psychiatric Hospital
San Diego, CA 92110
Mailing address
San Diego County Psychiatric Hospital
3853 Rosecrans Street
San Diego, CA 92110
UM
Phone (619) 692-8232
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1994
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1000 Broadway
Suite 210
El Cajon, CA 92021-4899
Phone (619) 401-5500
7855 Fay Ave
Suite 200
La Jolla, CA 92037-4267
Phone (415) 792-0195
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007015737 | MO | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Diego | Current | Accepting new patients | |
| Big Leap Medical Group of California P.C. | Psychiatry | Current | Accepting new patients |
| County of San Diego | Current | Accepting new patients | |
| County of San Diego | Current | Accepting new patients |
Locations
3808 W Riverside Dr
Ste 300
Burbank, CA 91505
Phone (415) 366-1519
1000 Broadway
Ste 210
El Cajon, CA 92021
Phone (619) 401-5500
7855 Fay Ave
Ste 200
La Jolla, CA 92037
Phone (415) 792-0195
1250 Morena Blvd
San Diego, CA 92110
Phone (619) 692-8715
3853 Rosecrans St
San Diego, CA 92110
Phone (619) 615-0439
3177 Ocean View Blvd
San Diego, CA 92113
Phone (619) 231-9300
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
Interoperability endpoints
- lifestancehealth.soheylatalebimarandi@148377.advancedmd-direct.com
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.
-
- Neurological Surgery Physician
- Mission Viejo, CA
- NPI 1447046800
Psychiatry
-
- Public Health or Welfare Agency
- San Diego, CA
- NPI 1225255375
-
- Ambulance
- San Diego, CA
- NPI 1316685159
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1427101351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352246400000",
"number": "1235334376",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "SAN DIEGO COUNTY PSYCHIATRIC HOSPITAL",
"address_2": "3853 ROSECRANS STREET",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92110",
"telephone_number": "619-692-8232",
"fax_number": "619-542-4060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3853 ROSECRANS STREET",
"address_2": "SAN DIEGO COUNTY PSYCHIATRIC HOSPITAL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92110",
"telephone_number": "619-692-8232",
"fax_number": "619-542-4060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALEBIMARANDI",
"first_name": "SOHEYLA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2012-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2007015737",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A118460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.