Active NPI
Sina Nazemi
- Student in an Organized Health Care Education/Training Program
- Vancouver, WA
National Provider Identifier
1679411755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2211 NE 139TH St
Vancouver, WA 98686-2742 - Phone
- (360) 397-1985
- Fax
- (360) 604-1604
- NPI assigned
- Mar 23, 2026
- Last updated
- Mar 23, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
2211 NE 139TH St
Vancouver, WA 98686-2742
Mailing address
11955 Missouri Ave Apt 6
Los Angeles, CA 90025-5227
Phone (310) 730-9128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260616000563 | WA | Order and Referring Only - Internal Medicine | 1658843297 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1679411755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11955 MISSOURI AVE APT 6",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900255227",
"telephone_number": "310-730-9128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 NE 139TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986862742",
"telephone_number": "360-397-1985",
"fax_number": "360-604-1604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZEMI",
"first_name": "SINA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-03-23",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.