Individual provider Active NPI

Nera Ismail Zadeh, N.P.

  • Nurse Practitioner
  • Sherman Oaks, CA
National Provider Identifier
1467733360
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
17605 Issued in CA
Practice address
4835 Van Nuys Blvd Ste 109
Sherman Oaks, CA 91403-2134
Phone
(818) 784-3615
Fax
(818) 905-0130
NPI assigned
Sep 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 598798 CA
Nurse Practitioner 363L00000X 17605 CA Primary

Addresses

Primary practice location

4835 Van Nuys Blvd Ste 109
Sherman Oaks, CA 91403-2134

Mailing address

2855 Wasatch CT
Westlake Village, CA 91362-3749
Phone (818) 404-2544

Other practice location 1

4849 Van Nuys Blvd Ste 105
Sherman Oaks, CA 91403-2121
Phone (818) 404-2544

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
I20110916000202 CA Practitioner - Nurse Practitioner 7517138894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, Geffen School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jerrold Dreyer MD IncGroup PAC ID 5294879771, 2 clinicians

Practice addresses (Care Compare)

4835 Van Nuys Blvd
Suite 109
Sherman Oaks, CA 91403-2134
Phone (818) 784-3615

Hospital & facility affiliations

  • Sherman Oaks Hospital Hospital, Sherman Oaks, CA, CCN 050755
  • Encino Hospital Medical Center Hospital, Encino, CA, CCN 050158
  • Mission Community Hospital Hospital, Panorama City, CA, CCN 050704
  • Valley Presbyterian Hospital Hospital, Van Nuys, CA, CCN 050126

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.55
Improvement activities
40
Cost
79.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17605CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Jerrold Dreyer, M.D., Inc. CurrentSince Jun 25, 2011 Accepting new patients
Nera'S Health Care Solutions, Incorporated Nurse Practitioner Past Accepting new patients

Locations

4835 Van Nuys Blvd
Ste 109
Sherman Oaks, CA 91403
Phone (818) 784-3615

4849 Van Nuys Blvd
Ste 105
Van Nuys, CA 91403
Phone (818) 784-3615

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1467733360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 WASATCH CT",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623749",
            "telephone_number": "818-404-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 VAN NUYS BLVD STE 109",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032134",
            "telephone_number": "818-784-3615",
            "fax_number": "818-905-0130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4849 Van Nuys Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914032121",
            "country_code": "US",
            "telephone_number": "818-404-2544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZADEH",
        "first_name": "NERA",
        "middle_name": "ISMAIL",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2022-08-08",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "598798",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "17605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.