Individual provider Active NPI

Dorna Yamini, NP

  • Family Nurse Practitioner
  • Redondo Beach, CA
National Provider Identifier
1417510504
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95009942 Issued in CA
Practice address
1444 Aviation Blvd Ste 101
Redondo Beach, CA 90278-4001
Phone
(818) 912-1406
NPI assigned
Apr 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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 95009942 CA Primary

Addresses

Primary practice location

1444 Aviation Blvd Ste 101
Redondo Beach, CA 90278-4001

Mailing address

1444 Aviation Blvd Ste 101
Redondo Beach, CA 90278-4001
Phone (818) 912-1406

Other names 1

  • Dorna Rowshanrad Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95009942CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prowellness Healthcare Inc. CurrentSince Mar 12, 2025 Accepting new patients
Doctors on the Go Inc. CurrentSince Jan 6, 2025 Accepting new patients

Locations

425 E Colorado St
Ste 535A
Glendale, CA 91205
Phone (818) 532-2222

8439 White Oak Ave
Ste 103
Rancho Cucamonga, CA 91730
Phone (818) 337-6488

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1417510504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 AVIATION BLVD STE 101",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784001",
            "telephone_number": "818-912-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 AVIATION BLVD STE 101",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784001",
            "telephone_number": "818-912-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMINI",
        "first_name": "DORNA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORNA",
            "last_name": "ROWSHANRAD",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redondo Beach, CA

Sources for this page

Verify at the official NPI Registry.