Individual provider Active NPI

Nizhu Rahman Minhaz

  • Clinical Social Worker
  • La Palma, CA
National Provider Identifier
1457897795
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
130890 Issued in CA
Practice address
20 Centerpointe Dr Ste 130
La Palma, CA 90623-2562
Phone
(657) 325-8313
NPI assigned
Jan 10, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 130890 CA Primary

Addresses

Primary practice location

20 Centerpointe Dr Ste 130
La Palma, CA 90623-2562

Mailing address

20 Centerpointe Dr Ste 130
La Palma, CA 90623-2562
Phone (657) 325-8313

Other practice location 1

12141 Brookhurst St Ste 201
Garden Grove, CA 92840-2865
Phone (714) 261-6149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
130890CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Corporation CurrentSince Apr 14, 2024 Accepting new patients

Locations

12141 Brookhurst St
Ste 201
Garden Grove, CA 92840
Phone (657) 261-7140

20 Centerpointe Dr
Ste 130
La Palma, CA 90623
Phone (657) 325-8313

6 Centerpointe Dr
Ste 700
La Palma, CA 90623
Phone (213) 331-7774

Organizations & group practices 1

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": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1457897795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CENTERPOINTE DR STE 130",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906232562",
            "telephone_number": "657-325-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CENTERPOINTE DR STE 130",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906232562",
            "telephone_number": "657-325-8313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12141 Brookhurst St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928402865",
            "country_code": "US",
            "telephone_number": "714-261-6149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINHAZ",
        "first_name": "NIZHU",
        "middle_name": "RAHMAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-10",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "130890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Palma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.