Individual provider Active NPI

Sophia Nairima

  • Psychiatric/Mental Health Nurse Practitioner
  • Palmdale, CA
National Provider Identifier
1316635998
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95025011 Issued in CA
Practice address
1630 Centre CT
Palmdale, CA 93551-3176
Phone
(818) 310-7143
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 95025011 CA Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 95025011 CA

Addresses

Primary practice location

1630 Centre CT
Palmdale, CA 93551-3176

Mailing address

1630 Centre CT
Palmdale, CA 93551-3176
Phone (818) 310-7143

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240103001862 CA Practitioner - Nurse Practitioner 4789034737 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
Tarzana Treatment Centers, Inc. CurrentSince Nov 19, 2023 Accepting new patients
Tarzana Treatment Centers, Inc. CurrentSince Nov 19, 2023 Accepting new patients
Tarzana Treatment Centers, Inc. Multi-Specialty Current Accepting new patients
Seavaint Health Nursing Inc Multi-Specialty Current Accepting new patients
Tarzana Treatment Centers, Inc. Past Accepting new patients

Locations

907 W Lancaster Blvd
Lancaster, CA 93534
Phone (661) 723-4829

320 E Palmdale Blvd
Palmdale, CA 93550
Phone (661) 729-9000

18646 Oxnard St
Tarzana, CA 91356
Phone (818) 654-3815

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: snairima645017@direct.ochin.org

Organizations & group practices 5

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": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1316635998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 CENTRE CT",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513176",
            "telephone_number": "818-310-7143",
            "fax_number": "661-449-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 CENTRE CT",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513176",
            "telephone_number": "818-310-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIRIMA",
        "first_name": "SOPHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95025011",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.