Individual provider Active NPI

Soheyla Talebimarandi, M.D.

  • Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1235334376
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A118460 Issued in CA
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

Updated by the provider on Nov 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121211000386 CA Practitioner - Psychiatry 7618142324 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Group practices
County of San DiegoGroup PAC ID 8123014057, 17 clinicians
Big Leap Medical Group of California P.C.Group PAC ID 8224534870, 4 clinicians

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

LicenseStateTypeSpecialty
2007015737MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Diego Current Accepting new patients
Big Leap Medical Group of California P.C. Psychiatry CurrentSince Aug 6, 2025 Accepting new patients
County of San Diego CurrentSince Oct 2, 2012 Accepting new patients
County of San Diego CurrentSince Oct 2, 2012 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.