Individual provider Active NPI

Mona Yazdani

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1356147441
Registry record updated Oct 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95041122 Issued in CA
Practice address
3075 Health Center Dr Ste 102
San Diego, CA 92123-2773
Phone
(858) 637-7888
NPI assigned
Feb 20, 2025
Last updated
Oct 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2026

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 95041122 CA Primary

Addresses

Primary practice location

3075 Health Center Dr Ste 102
San Diego, CA 92123-2773

Mailing address

3075 Health Center Dr Ste 102
San Diego, CA 92123-2773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20260224000094 VA Practitioner - Nurse Practitioner 9739660267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Virginia Hematology Oncology Associates PCGroup PAC ID 2264537927, 2 clinicians

Practice addresses (Care Compare)

2079 Daniel Stuart SQ
Woodbridge, VA 22191-3317
Phone (703) 491-5600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95041122CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Virginia Hematology Oncology Associates PC CurrentSince Feb 1, 2026 Accepting new patients

Locations

8140 Ashton Ave
Ste 210
Manassas, VA 20109
Phone (703) 396-9000

2079 Daniel Stuart Sq
Woodbridge, VA 22191
Phone (703) 491-5600

Organizations & group practices 1

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": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791072000000",
    "number": "1356147441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 HEALTH CENTER DR STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 HEALTH CENTER DR STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232773",
            "telephone_number": "858-637-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAZDANI",
        "first_name": "MONA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-20",
        "last_updated": "2026-10-04",
        "certification_date": "2026-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95041122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.