Individual provider Active NPI

Neda Momeni, FNP

  • Family Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1386156644
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007432 Issued in CA
Practice address
801 S Chevy Chase Dr
Glendale, CA 91205-4431
Phone
(818) 630-2241
NPI assigned
Oct 26, 2017
Last updated
Oct 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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 95007432 CA Primary

Addresses

Primary practice location

801 S Chevy Chase Dr
Glendale, CA 91205-4431

Mailing address

3630 Westwood Blvd Apt 1
Los Angeles, CA 90034-6712

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
I20190305001326 CA Practitioner - Nurse Practitioner 2860731197 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
White Memorial Community Health Center CurrentSince Jul 10, 2023 Accepting new patients
White Memorial Community Health Center CurrentSince Jul 10, 2023 Accepting new patients

Locations

1828 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 263-6774

1828 E Cesar E Chavez Ave
Ste 6100
Los Angeles, CA 90033
Phone (323) 859-3627

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JECHBA
  • Direct secure messaging: nedamomeni@cchc.trimed.direct-ci.com

Organizations & group practices 2

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": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1386156644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 WESTWOOD BLVD APT 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S CHEVY CHASE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054431",
            "telephone_number": "818-630-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMENI",
        "first_name": "NEDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.