Active NPI
Maimoona Sultana Qadeer, RN
- Psychiatric/Mental Health Registered Nurse
- Glendora, CA
National Provider Identifier
1629645080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 541944
- Practice address
- 150 W Route 66
Glendora, CA 91740-6207 - Phone
- (626) 852-5028
- Fax
- (626) 852-5064
- NPI assigned
- Jun 4, 2021
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 541944 | CA | Primary |
Addresses
Primary practice location
150 W Route 66
Glendora, CA 91740-6207
Mailing address
150 W Route 66
Glendora, CA 91740-6207
Phone (626) 852-5028
Other names 1
- Maimoona Sultana
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Glendora | ||
| Other URL | Glendora | Other |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 541944 | CA | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622764800000",
"number": "1629645080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 W ROUTE 66",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917406207",
"telephone_number": "626-852-5028",
"fax_number": "626-852-5064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 W ROUTE 66",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917406207",
"telephone_number": "626-852-5028",
"fax_number": "626-852-5064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QADEER",
"first_name": "MAIMOONA",
"middle_name": "SULTANA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-04",
"last_updated": "2021-06-04",
"certification_date": "2021-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "541944",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Glendora",
"affiliation": "N",
"address_1": "150 W Route 66",
"city": "Glendora",
"state": "CA",
"country_code": "US",
"postal_code": "917406207",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Glendora",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Glendora",
"address_1": "150 W Route 66",
"city": "Glendora",
"state": "CA",
"country_code": "US",
"postal_code": "917406207",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MAIMOONA",
"last_name": "SULTANA",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.