Individual provider Active NPI

Arezou Parsian, CNP

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1487284766
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
024737 Issued in OH
Practice address
77 Cadillac Dr Ste 200
Sacramento, CA 95825-8337
Phone
(916) 454-2345
NPI assigned
Jan 25, 2020
Last updated
Jul 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95017285 CA
Family Nurse Practitioner 363LF0000X 024737 OH Primary

Addresses

Primary practice location

77 Cadillac Dr Ste 200
Sacramento, CA 95825-8337

Mailing address

1860 Howe Ave Ste 440
Sacramento, CA 95825-1098
Phone (916) 569-8484

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
I20210820002596 CA Practitioner - Nurse Practitioner 5991135519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elica Health CentersGroup PAC ID 4385706845, 23 clinicians

Practice addresses (Care Compare)

77 Cadillac Dr
Suite 200
Sacramento, CA 95825-8337
Phone (916) 454-2345

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95017285CAMDFamily Nurse Practitioner
024737OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elica Health Centers CurrentSince Jul 21, 2021 Accepting new patients
Elica Health Centers Current Accepting new patients
Elica Health Centers CurrentSince Jul 21, 2021 Accepting new patients
Elica Health Centers Past Accepting new patients

Locations

1750 Wright St
Ste 1
Sacramento, CA 95825

1860 Howe Ave
Ste 440
Sacramento, CA 95825

2400 Glendale Ln
Sacramento, CA 95825
Phone 9165698484 ext. 871

77 Cadillac Dr
Ste 200
Sacramento, CA 95825
Phone (916) 561-5911

1276 Halyard Dr
West Sacramento, CA 95691
Phone (530) 865-5544

155 15th St
Ste A
West Sacramento, CA 95691
Phone (916) 375-8981

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1579910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1487284766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 HOWE AVE STE 440",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251098",
            "telephone_number": "916-569-8484",
            "fax_number": "916-256-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CADILLAC DR STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958258337",
            "telephone_number": "916-454-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSIAN",
        "first_name": "AREZOU",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-25",
        "last_updated": "2021-07-19",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017285",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "024737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.