Individual provider Active NPI

Sima Aman, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Gardena, CA
National Provider Identifier
1689396293
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95022067 Issued in CA
Practice address
1225 W 190TH St
Gardena, CA 90248-4320
Phone
(310) 515-8113
NPI assigned
Sep 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95022067 CA Primary

Addresses

Primary practice location

1225 W 190TH St
Gardena, CA 90248-4320

Mailing address

14541 Delano St
Van Nuys, CA 91411-2820
Phone (310) 515-8113

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
I20221213001864 CA Practitioner - Nurse Practitioner 0547639676 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health and Nursing PCGroup PAC ID 5294151635, 10 clinicians

Practice addresses (Care Compare)

421 N Brookhurst St
Suite 119
Anaheim, CA 92801-5618
Phone (714) 361-0898

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health and Nursing PC Psychiatric/Mental Health CurrentSince Jan 1, 2023 Accepting new patients
Renewed Medical Group, a Professional Medical Corporation Psychiatric/Mental Health CurrentSince Jun 12, 2024 Accepting new patients
Ehab Yacoub MD Inc. CurrentSince Nov 14, 2022 Accepting new patients

Locations

421 N Brookhurst St
Ste 119
Anaheim, CA 92801
Phone (714) 253-6570

1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113

3780 Kilroy Airport Way
Ste 200
Long Beach, CA 90806
Phone (323) 548-8820

17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929

1131 W 6th St
Ste 232
Ontario, CA 91762
Phone (714) 361-0898

202 Fashion Ln
Ste 102
Tustin, CA 92780
Phone (714) 361-0898

14541 Delano St
Van Nuys, CA 91411
Phone (310) 515-8113

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1689396293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14541 DELANO ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112820",
            "telephone_number": "310-515-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W 190TH ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484320",
            "telephone_number": "310-515-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAN",
        "first_name": "SIMA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2023-03-01",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95022067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

Verify at the official NPI Registry.