Individual provider Active NPI

Nazanin Parsaei, MD

  • Family Medicine Physician
  • Sherman Oaks, CA
National Provider Identifier
1417104282
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A112838 Issued in CA
Practice address
4940 Van Nuys Blvd Ste 105
Sherman Oaks, CA 91403-1740
Phone
(818) 990-9050
Fax
(818) 990-9070
NPI assigned
Aug 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME135016 FL
Family Medicine Physician 207Q00000X A112838 CA Primary

Addresses

Primary practice location

4940 Van Nuys Blvd Ste 105
Sherman Oaks, CA 91403-1740

Mailing address

4940 Van Nuys Blvd Ste 105
Sherman Oaks, CA 91403-1740
Phone (818) 990-9050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110411000579 CA Practitioner - Family Practice 7315121670 Reassigns benefits to 3 organizations
I20180409000539 FL Practitioner - Family Practice 7315121670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gracelight Community HealthGroup PAC ID 3072619618, shared by 6 NPIs, 24 clinicians

Practice addresses (Care Compare)

150 N Reno St
Los Angeles, CA 90026-4656
Phone (213) 380-7298

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME135016FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc Single Specialty CurrentSince Mar 5, 2018 Accepting new patients
Pathway Medical Group, Inc. CurrentSince Aug 22, 2023 Accepting new patients
MD Now Medical Centers Inc CurrentSince Mar 5, 2018 Accepting new patients
Pathway Medical Group, Inc Single Specialty Current Accepting new patients
Anaheim Urgent Care, Inc CurrentSince Jun 22, 2020 Accepting new patients
Southern California Medical Center, Inc. Family Medicine CurrentSince Jan 30, 2024 Accepting new patients
Anaheim Urgent Care, Inc. Single Specialty Current Accepting new patients
Anaheim Urgent Care, Inc. CurrentSince Jun 22, 2020 Accepting new patients
Pathway Medical Group, Inc Single Specialty CurrentSince Aug 22, 2023 Accepting new patients

Locations

831 S State College Blvd
Anaheim, CA 92806
Phone (714) 533-2273

12100 Valley Blvd
Ste 109
El Monte, CA 91732

12100 Valley Blvd
Ste 109A
El Monte, CA 91732
Phone (626) 575-7500

12462 Brookhurst St
Ste Ab
Garden Grove, CA 92840
Phone (714) 636-9850

888 S Figueroa St
Ste 600
Los Angeles, CA 90017

5717 Melrose Ave
Los Angeles, CA 90038
Phone (323) 957-2273

8825 Whittier Blvd
Pico Rivera, CA 90660
Phone (562) 699-3333

524 Colorado Ave
Santa Monica, CA 90401
Phone (310) 260-2917

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

3470 NW 62nd Ave
Margate, FL 33063
Phone (954) 972-6868

9971 W Flagler St
Miami, FL 33174
Phone (305) 222-8335

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nazaninmd.parsaei.p1@direct.scmedcenter.nextgenshare.com

Organizations & group practices 10

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": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1417104282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 VAN NUYS BLVD STE 105",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031740",
            "telephone_number": "818-990-9050",
            "fax_number": "818-990-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 VAN NUYS BLVD STE 105",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031740",
            "telephone_number": "818-990-9050",
            "fax_number": "818-990-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSAEI",
        "first_name": "NAZANIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME135016",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A112838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.