Nikki Bagherzadeh, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

144935

Practice address

621 E Campbell Ave Ste 17
Campbell, CA 95008-2137

Phone

(818) 672-6412

NPI assigned

Nov 22, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1376200501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20319 STRELNA PL",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913644637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 E CAMPBELL AVE STE 17",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082137",
            "telephone_number": "818-672-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGHERZADEH",
        "first_name": "NIKKI",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": "144935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesus Daniel Baca
• Brianna Bader
• Cheryl L. Bader, MD
• Sina Badiei
• Kwang Min Bae
• Angelique Bagley, MFT
• Azul Baker
• Charles E Baker, PHD
• Noor Baker, MA
• Olga Baker

• All providers in Campbell, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.