Active NPI
Lyda Saeedy, N.P.
- Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1467633602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP6312
- Practice address
- 954 N Vermont Ave
Los Angeles, CA 90029-3529 - Phone
- (323) 666-6004
- NPI assigned
- Nov 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP6312 | CA | Primary |
Addresses
Primary practice location
954 N Vermont Ave
Los Angeles, CA 90029-3529
Mailing address
1301 S Glendora Ave
Glendora, CA 91740-5140
Phone (626) 914-4484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN317911 | Medicaid | CA |
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP6312 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1467633602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 S GLENDORA AVE",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917405140",
"telephone_number": "626-914-4484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "954 N VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900293529",
"telephone_number": "323-666-6004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAEEDY",
"first_name": "LYDA",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-15",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP6312",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RN317911",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.