Hanieh Nejad

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95025639 Issued in CA

Practice address

19355 Sherman Way Unit 38
Reseda, CA 91335-3566

Phone

(818) 264-8263

NPI assigned

Jul 6, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Hanieh Bidokhtinejad Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

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  Medicare reassignment NPD

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1336827765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19355 SHERMAN WAY UNIT 38",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353566",
            "telephone_number": "818-264-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19355 SHERMAN WAY UNIT 38",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353566",
            "telephone_number": "818-264-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEJAD",
        "first_name": "HANIEH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95073984",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95025639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANIEH",
            "last_name": "BIDOKHTINEJAD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Svetlana Nanzanova, ACUPUNCTURIST
• Narek Garukyan DPM
• Mariam Narinyan I, PHARMD
• National Script Pharmacy Inc
• Naturcare Home Health, Inc.
• Wanda Nelson
• New Choice Recovery Treatment Center, Inc.
• New Frontier Home Health, Inc.
• New Health Durable Medical Equipment
• New Horizons: Serving Individuals With Special Needs

• Psychiatric/Mental Health Nurse Practitioner in Reseda, CA
• Providers in Reseda, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.