Individual provider Active NPI

Keristineh Seyfi, FNP

  • Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1689400137
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95032068 Issued in CA
Practice address
1101 N Pacific Ave Ste 104
Glendale, CA 91202-4313
Phone
(818) 552-5000
NPI assigned
Sep 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95032068 CA Primary

Addresses

Primary practice location

1101 N Pacific Ave Ste 104
Glendale, CA 91202-4313

Mailing address

1101 N Pacific Ave Ste 104
Glendale, CA 91202-4313
Phone (818) 552-5000

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
I20241024004406 CA Practitioner - Nurse Practitioner 6002349321 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Care Network Inc CurrentSince Sep 21, 2024 Accepting new patients

Locations

1101 N Pacific Ave
Ste 104
Glendale, CA 91202
Phone (818) 552-5000

18531 Roscoe Blvd
Ste 215
Northridge, CA 91324
Phone (818) 700-0411

Organizations & group practices 1

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": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1689400137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N PACIFIC AVE STE 104",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912024313",
            "telephone_number": "818-552-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N PACIFIC AVE STE 104",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912024313",
            "telephone_number": "818-552-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYFI",
        "first_name": "KERISTINEH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95032068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.