Individual provider Active NPI

Sepideh Parandeh

  • Family Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1417700725
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F04240012 Issued in CA
Practice address
7065 Indiana Ave Ste 100&110
Riverside, CA 92506-4167
Phone
(951) 476-0115
Fax
(951) 476-0116
NPI assigned
Apr 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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 F04240012 CA Primary

Addresses

Primary practice location

7065 Indiana Ave Ste 100&110
Riverside, CA 92506-4167

Mailing address

7065 Indiana Ave Ste 100&110
Riverside, CA 92506-4167
Phone (951) 476-0115

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
I20251014001851 CA Practitioner - Nurse Practitioner 4981191988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

12640 Hesperia Rd
Suite D
Victorville, CA 92395-7753
Phone (760) 684-4143

12830 Hesperia Rd
Suite a D
Victorville, CA 92395-7788
Phone (760) 684-8999

1695 S San Jacinto Ave
San Jacinto, CA 92583-5103
Phone (951) 330-3100

36101 Bob Hope Dr
Suite a
Rancho Mirage, CA 92270-2001
Phone (760) 321-1315

7065 Indiana Ave
Suite 100And110
Riverside, CA 92506-4167
Phone (951) 476-0115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F04240012CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tobias Moeller-Bertram MD Corporation CurrentSince Jul 31, 2025 Accepting new patients
Tobias Moeller-Bertram MD Corporation CurrentSince Jul 31, 2025 Accepting new patients
Moeller-Bertram Medical Corporation PastSince May 1, 2025 Accepting new patients

Locations

44630 Monterey Ave
Ste 100
Palm Desert, CA 92260
Phone (760) 340-4290

36101 Bob Hope Dr
Ste A
Rancho Mirage, CA 92270
Phone (760) 321-1315

7065 Indiana Ave
Ste 110
Riverside, CA 92506
Phone (951) 476-0115

7065 Indiana Ave
Ste 100110
Riverside, CA 92506
Phone (951) 476-0115

7065 Indiana Ave
Ste 100
Riverside, CA 92506
Phone (951) 476-0115

12640 Hesperia Rd
Ste D
Victorville, CA 92395
Phone (760) 684-4143

Organizations & group practices 3

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": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1417700725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7065 INDIANA AVE STE 100&110",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064167",
            "telephone_number": "951-476-0115",
            "fax_number": "951-476-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7065 INDIANA AVE STE 100&110",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064167",
            "telephone_number": "951-476-0115",
            "fax_number": "951-476-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARANDEH",
        "first_name": "SEPIDEH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F04240012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.