Individual provider Active NPI

Sarina Mai Lee Safina, NP

  • Family Nurse Practitioner
  • San Carlos, CA
National Provider Identifier
1295318129
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9507160 Issued in CA
Practice address
125 Shoreway Rd Ste a
San Carlos, CA 94070-2718
Phone
(650) 556-9420
Fax
(661) 678-2779
NPI assigned
Apr 29, 2021
Last updated
Apr 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9507160 CA Primary

Addresses

Primary practice location

125 Shoreway Rd Ste a
San Carlos, CA 94070-2718

Mailing address

2104 Forest Ave
Belmont, CA 94002-1504
Phone (650) 339-4271

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9507160CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1295318129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 FOREST AVE",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940021504",
            "telephone_number": "650-339-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SHOREWAY RD STE A",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702718",
            "telephone_number": "650-556-9420",
            "fax_number": "661-678-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFINA",
        "first_name": "SARINA",
        "middle_name": "MAI LEE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "9507160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.