Active NPI
Resmi Raveendran Nair, MSN, FNP-C, PMHNP-BC
- Family Nurse Practitioner
- Elk Grove, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95022449
- Practice address
- 7301 Gladwin Way
Elk Grove, CA 95757-4002 - Phone
- (408) 601-7678
- NPI assigned
- Feb 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95022449 | CA | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95022449 | CA |
Addresses
Primary practice location
7301 Gladwin Way
Elk Grove, CA 95757-4002
Mailing address
7301 Gladwin Way
Elk Grove, CA 95757-4002
Phone (408) 601-7678
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6608 Mercy CT
Suite B
Fair Oaks, CA 95628-3171
Phone (916) 241-9844
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95022449 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hisham Soliman MD Inc | Current | Accepting new patients | |
| J M Geiss DO Apc | Current | Accepting new patients | |
| Community Health Centers of America | Current | Accepting new patients | |
| Community Health Centers of America | Current | Accepting new patients | |
| California PHS PC | Current | Accepting new patients | |
| Optimum Medical Supply Corporation | Past | Accepting new patients |
Locations
1420 E Palomar St
Chula Vista, CA 91913
15720 Ventura Blvd
Ste 210
Encino, CA 91436
Phone (818) 515-8097
6608 Mercy Ct
Ste B
Fair Oaks, CA 95628
Phone (916) 277-8881
6608 Mercy Ct
Ste Ab
Fair Oaks, CA 95628
510 Plaza Dr
Ste 170
Folsom, CA 95630
Phone (877) 272-5818
5320 State Highway 49 N
Ste 13
Mariposa, CA 95338
Phone (209) 966-2344
733 3rd St
Mc Farland, CA 93250
Phone (661) 792-3097
1900 Coffee Rd
Modesto, CA 95355
Phone (209) 491-0904
520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266
2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271
2928 Eastern Ave
Sacramento, CA 95821
Phone (916) 894-8212
3200 4th Ave
Ste 200
San Diego, CA 92103
Phone (858) 283-2391
550 Bryant St
San Francisco, CA 94107
523 4th St
Ste 216
San Rafael, CA 94901
5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663
28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Mariposa, CA
- NPI 1891207684
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Folsom, CA
- NPI 1700199080
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1649932781
-
- Federally Qualified Health Center (FQHC)
- Gustine, CA
- NPI 1245105733
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1063825289
-
- Durable Medical Equipment & Medical Supplies
- San Diego, CA
- NPI 1720650476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1699538462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7301 GLADWIN WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957574002",
"telephone_number": "408-601-7678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 GLADWIN WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957574002",
"telephone_number": "408-601-7678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIR",
"first_name": "RESMI",
"middle_name": "RAVEENDRAN",
"credential": "MSN, FNP-C, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-05",
"last_updated": "2024-02-05",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95022449",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95022449",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.