Individual provider Active NPI

Nabi Ghulam Latif, M.D.

  • Psychiatry Physician
  • Aliso Viejo, CA
National Provider Identifier
1386841500
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A111501 Issued in CA
Practice address
5 Mareblu
Aliso Viejo, CA 92656-3014
Phone
(949) 643-6901
Fax
(949) 643-6981
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A111501 CA Primary

Addresses

Primary practice location

5 Mareblu
Aliso Viejo, CA 92656-3014

Mailing address

PO Box 18200
Irvine, CA 92623-8200
Phone (949) 643-6901

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110908002157 CA Practitioner - Psychiatry 0446437768 Reassigns benefits to 5 organizations
Practice locations: Mission Viejo, CA

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
61 of 100Reported as group
Quality
59.41
Promoting interoperability
0
Improvement activities
40
Cost
71.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A111501CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Psychiatric Medical Group, Inc. Psychiatry Current Accepting new patients
Inland Psychiatric Medical Group, Inc. Psychiatry CurrentSince Jan 31, 2018 Accepting new patients
County of Santa Clara CurrentSince Jan 27, 2021 Accepting new patients
County of Orange CurrentSince Nov 19, 2016 Accepting new patients
Inland Psychiatric Medical Group, Inc. Psychiatry CurrentSince Jan 31, 2018 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Jan 27, 2021 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Jan 27, 2021 Accepting new patients
County of Orange CurrentSince Nov 19, 2016 Accepting new patients
County of Santa Clara CurrentSince Jan 27, 2021 Accepting new patients

Locations

5 Mareblu
Aliso Viejo, CA 92656
Phone (949) 643-6901

5 Mareblu
#200
Aliso Viejo, CA 92656
Phone (949) 643-6901

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

24432 Muirlands Blvd
Ste 131
Lake Forest, CA 92630
Phone (714) 520-3000

23228 Madero
Mission Viejo, CA 92691
Phone (949) 454-3940

1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

Organizations & group practices 11

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1386841500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926238200",
            "telephone_number": "949-643-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MAREBLU",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563014",
            "telephone_number": "949-643-6901",
            "fax_number": "949-643-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATIF",
        "first_name": "NABI",
        "middle_name": "GHULAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A111501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

Verify at the official NPI Registry.