Active NPI
Shakiba Peyrovi, FNP-C
- Family Nurse Practitioner
- Lake Forest, CA
National Provider Identifier
1609706266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95039669
- Practice address
- 23672 Birtcher Dr
Lake Forest, CA 92630-1711 - Phone
- (949) 770-7301
- NPI assigned
- May 22, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95039669 | CA | Primary |
Addresses
Primary practice location
23672 Birtcher Dr
Lake Forest, CA 92630-1711
Mailing address
1539 Caribbean Way
Laguna Beach, CA 92651-1907
Phone (949) 400-7535
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95039669 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1609706266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1539 CARIBBEAN WAY",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926511907",
"telephone_number": "949-400-7535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23672 BIRTCHER DR",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926301711",
"telephone_number": "949-770-7301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEYROVI",
"first_name": "SHAKIBA",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-22",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95039669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.