Individual provider Active NPI

Mahvash Roya Soltani, NP-BC

  • Family Nurse Practitioner
  • Livingston, CA
National Provider Identifier
1407354392
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008148 Issued in CA
Practice address
600 B St
Livingston, CA 95334-9593
Phone
(883) 850-3500
NPI assigned
Jan 25, 2018
Last updated
Feb 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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 797297 TX
Family Nurse Practitioner 363LF0000X 95008148 CA Primary

Addresses

Primary practice location

600 B St
Livingston, CA 95334-9593

Mailing address

1323 Barrington Dr
Coppell, TX 75019-3760

Other practice location 1

1323 Barrington Dr.
Coppell, TX 75019
Phone (469) 831-7182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240724004233 WI Practitioner - Nurse Practitioner 1254687940 Reassigns benefits to 1 organization
I20250306003503 WA Practitioner - Nurse Practitioner 1254687940 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95008148CAMDFamily Nurse Practitioner
797297TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Washington, P.S. Current Accepting new patients
American Current Care P.a. CurrentSince Jul 10, 2024 Accepting new patients
American Current Care PA Current Accepting new patients
American Current Care P.a. Current Accepting new patients
American Current Care PA CurrentSince Jul 10, 2024 Accepting new patients
American Current Care of Washington, P.S. CurrentSince Jan 27, 2025 Accepting new patients
Peninsula Community Health Services of Alaska, Inc. PastSince Aug 22, 2022 Accepting new patients

Locations

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

1925 140th Ave NE
Bellevue, WA 98005
Phone (425) 865-8060

3101 111th St SW
Unit Tu
Everett, WA 98204
Phone (425) 267-0299

9222 N Newport Hwy
Ste 1
Spokane, WA 99218
Phone (509) 467-4545

2455 N 124th St
Brookfield, WI 53005
Phone (262) 782-9326

358 Junction Rd
Madison, WI 53717
Phone (608) 829-1888

215 N 35th St
Milwaukee, WI 53208
Phone (414) 931-7600

Interoperability endpoints

  • Direct secure messaging: rsoltani322120@direct.ochin.org

Organizations & group practices 7

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": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1407354392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 BARRINGTON DR",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 B ST",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953349593",
            "telephone_number": "883-850-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1323 Barrington Dr.",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "75019",
            "country_code": "US",
            "telephone_number": "469-831-7182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLTANI",
        "first_name": "MAHVASH",
        "middle_name": "ROYA",
        "credential": "NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "797297",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, CA

Sources for this page

Verify at the official NPI Registry.