Photic Mood & Anxiety Care LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PHOTIC MOOD & ANXIETY CARE LLC

Practice address

4668 Corte Mar del Corazon
San Diego, CA 92130-2692

Phone

(562) 287-9630

NPI assigned

Oct 21, 2025

Organization subpart

No

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

Authorized official

Name

Sharmin NabiNPI 1164050597

Title

Owner

Phone

(562) 287-9630

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sharmin Hussain Nabi, MD

  • Psychiatry Physician
  • Mission Viejo, CA
  • NPI 1164050597
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1467329631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 E OCEAN AIR DR STE B-101170",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921304683",
            "telephone_number": "562-287-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4668 CORTE MAR DEL CORAZON",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302692",
            "telephone_number": "562-287-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOTIC MOOD & ANXIETY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "NABI",
        "authorized_official_first_name": "SHARMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-287-9630"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Phipps
• Phlebcare, LLC
• Phoenix Collective Inc
• Phoenix Medical Group, Inc.
• Andrew Phoon, MD
• Ashliegh Marie Phouamkha
• Alina Phoutthavong, RN
• PHP Ins Ca PC
• Nicholas John Phreaner, M.D.
• Wilson Phu, OD

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.