Individual provider Active NPI

Aeleen Charife Bird, NP

  • Family Nurse Practitioner
  • Victorville, CA
National Provider Identifier
1649031345
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95028577 Issued in CA
Practice address
12740 Hesperia Rd Ste a
Victorville, CA 92395-8306
Phone
(760) 999-0918
NPI assigned
Jan 19, 2024
Last updated
Feb 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95028577 CA Primary

Addresses

Primary practice location

12740 Hesperia Rd Ste a
Victorville, CA 92395-8306

Mailing address

21360 Telegraph Rd
Riverside, CA 92507-0053
Phone (760) 792-7722

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
I20251210004127 CA Practitioner - Nurse Practitioner 4789125345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shima Hadidchi MD a Professional CorpGroup PAC ID 5991137911, 3 clinicians

Practice addresses (Care Compare)

12740 Hesperia Rd
Victorville, CA 92395-8306
Phone (760) 998-1999

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shima Hadidchi MD a Professional Corp CurrentSince Jul 10, 2025 Accepting new patients
Razi Medical Group Inc CurrentSince Mar 3, 2024 Accepting new patients

Locations

638 E Colorado Ave
Glendora, CA 91740
Phone (626) 331-0781

12740 Hesperia Rd
Ste A
Victorville, CA 92395
Phone (760) 713-6969

12740 Hesperia Rd
Ste B
Victorville, CA 92395
Phone (760) 713-6969

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGAJCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EECJBD

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, 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": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1649031345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21360 TELEGRAPH RD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070053",
            "telephone_number": "760-792-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12740 HESPERIA RD STE A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958306",
            "telephone_number": "760-999-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "AELEEN",
        "middle_name": "CHARIFE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.