Active NPI
Volker Nabavi, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Santa Monica, CA
National Provider Identifier
1235791468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95015994
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 95015994 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rogers Behavioral Health, Inc. | Past | Accepting new patients | |
| Rogers Behavioral Health - Wisconsin SC | Psychiatric/Mental Health | Past | Accepting new patients |
| Rogers Behavioral Health, Inc. | Past | 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.
-
dba Rogers Behavioral Health
- Clinic/Center
- Los Angeles, CA
- NPI 1538700471
-
dba Rogers Behavioral Health
- Clinic/Center
- San Diego, CA
- NPI 1972065241
-
dba Rogers Behavioral Health Practice - Wisconsin SC
- Psychiatry Physician
- Oconomowoc, WI
- NPI 1699524751
Psychiatric/Mental Health
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.