Individual provider Active NPI

Ladan P. Hashemi, NP

  • Nurse Practitioner
  • West Sacramento, CA
National Provider Identifier
1376887935
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
22603 Issued in CA
Practice address
1276 Halyard Dr
West Sacramento, CA 95691-3412
Phone
(855) 354-2242
Fax
(916) 256-2214
NPI assigned
Nov 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22603 CA
Nurse Practitioner 363L00000X 22603 CA Primary

Addresses

Primary practice location

1276 Halyard Dr
West Sacramento, CA 95691-3412

Mailing address

1860 Howe Ave Ste 440
Sacramento, CA 95825-1098
Phone (916) 569-8484

Other identifiers 5

IdentifierTypeStateIssuer
EFF: 4/23/13 MARYSVIMedicaidCA
EFF:4/23/13-CITRUS HMedicaidCA
EFF: 4/23/13 NORWOODMedicaidCA
P01284216OtherCARAILROAD MEDICARE-DS9933
EFF: 4/23/13 55TH STMedicaidCA

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
I20130124000134 CA Practitioner - Nurse Practitioner 5698928778 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22603CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elica Health Centers CurrentSince Dec 1, 2012 Accepting new patients
Elica Health Centers Nurse Practitioner CurrentSince Dec 1, 2012 Accepting new patients
Elica Health Centers Current Accepting new patients
Molina Healthcare of California Past Accepting new patients
Molina Healthcare of California Past Accepting new patients

Locations

3234 Marysville Blvd
Sacramento, CA 95815
Phone (916) 646-1200

3701 J St
Ste 201
Sacramento, CA 95816

1860 Howe Ave
Ste 440
Sacramento, CA 95825

1750 Wright St
Ste 1
Sacramento, CA 95825

1276 Halyard Dr
West Sacramento, CA 95691

155 15th St
Ste A
West Sacramento, CA 95691
Phone (916) 375-8981

Interoperability endpoints

  • Direct secure messaging: lhashemi343043@direct.ochin.org

Organizations & group practices 6

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": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1376887935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 HOWE AVE STE 440",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251098",
            "telephone_number": "916-569-8484",
            "fax_number": "916-256-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 HALYARD DR",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913412",
            "telephone_number": "855-354-2242",
            "fax_number": "916-256-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASHEMI",
        "first_name": "LADAN",
        "middle_name": "P.",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-20",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22603",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "22603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EFF: 4/23/13 MARYSVI",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EFF:4/23/13-CITRUS H",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EFF: 4/23/13 NORWOOD",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE-DS9933",
            "identifier": "P01284216",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EFF: 4/23/13 55TH ST",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sacramento, CA

Sources for this page

Verify at the official NPI Registry.