Individual provider Active NPI

Volker Nabavi, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Monica, CA
National Provider Identifier
1235791468
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95015994 Issued in CA
Practice address
312 Arizona Ave
Santa Monica, CA 90401
Phone
(213) 640-7678
NPI assigned
Jul 9, 2019
Reactivated
Jun 19, 2020
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95015994 CA Primary

Addresses

Primary practice location

312 Arizona Ave
Santa Monica, CA 90401

Mailing address

4470 W Sunset Blvd Ste 107
Los Angeles, CA 90027-6309
Phone (323) 205-7088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95015994CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rogers Behavioral Health, Inc. PastSince Dec 1, 2021 Accepting new patients
Rogers Behavioral Health - Wisconsin SC Psychiatric/Mental Health PastSince Sep 1, 2020 Accepting new patients
Rogers Behavioral Health, Inc. PastSince Dec 1, 2021 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1235791468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4470 W SUNSET BLVD STE 107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276309",
            "telephone_number": "323-205-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 ARIZONA AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90401",
            "telephone_number": "213-640-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABAVI",
        "first_name": "VOLKER",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-09",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "deactivation_date": "2019-07-14",
        "reactivation_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95015994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.