NPIMap

Individual provider Active NPI

Tanzina Nasreen, M.D.

  • Nephrology Physician
  • Los Alamitos, CA
National Provider Identifier
1649454638
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A92620 Issued in CA
Practice address
10941 Bloomfield St
Suite a
Los Alamitos, CA 90720-2530
Phone
(562) 596-1667
Fax
(562) 598-6867
NPI assigned
Dec 26, 2007
Last updated
Aug 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A92620 CA Primary

Addresses

Primary practice location

10941 Bloomfield St
Suite a
Los Alamitos, CA 90720-2530

Mailing address

PO Box 1127
Los Alamitos, CA 90720-1127
Phone (562) 596-1667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081030000238 CA Practitioner - NephrologyPractitioner - Internal Medicine 1153480587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern California Kidney Consultants IncGroup PAC ID 6103811286, 21 clinicians

Practice addresses (Care Compare)

12665 Garden Grove Blvd
Suite 211
Garden Grove, CA 92843-1916
Phone (714) 636-2890

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A92620CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Kidney Consultants Inc. Nephrology CurrentSince May 1, 2021 Accepting new patients
Mohammad Ismail MD Inc Nephrology CurrentSince Mar 15, 2010 Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
University of California Irvine Past Accepting new patients
Dignity Health Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Coast Plaza Doctors Hospital Past Accepting new patients

Locations

12665 Garden Grove Blvd
Ste 211
Garden Grove, CA 92843
Phone (714) 636-2890

16415 Colorado Ave
Ste 207
Paramount, CA 90723
Phone (562) 602-2334

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21072/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tanzina.nasreen.1@21072.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1649454638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1127",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907201127",
            "telephone_number": "562-596-1667",
            "fax_number": "562-598-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10941 BLOOMFIELD ST",
            "address_2": "SUITE A",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202530",
            "telephone_number": "562-596-1667",
            "fax_number": "562-598-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASREEN",
        "first_name": "TANZINA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A92620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.