Individual provider Active NPI

Resmi Raveendran Nair, MSN, FNP-C, PMHNP-BC

  • Family Nurse Practitioner
  • Elk Grove, CA
National Provider Identifier
1699538462
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95022449 Issued in CA
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

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240404001130 CA Practitioner - Nurse Practitioner 9830537232 Reassigns benefits to 2 organizations

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
Community Health Centers of AmericaGroup PAC ID 3476813460, 112 clinicians

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

LicenseStateTypeSpecialty
95022449CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hisham Soliman MD Inc CurrentSince Feb 20, 2024 Accepting new patients
J M Geiss DO Apc CurrentSince Aug 1, 2024 Accepting new patients
Community Health Centers of America CurrentSince Aug 20, 2024 Accepting new patients
Community Health Centers of America CurrentSince Aug 20, 2024 Accepting new patients
California PHS PC CurrentSince Aug 1, 2024 Accepting new patients
Optimum Medical Supply Corporation PastSince Jul 10, 2022 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: 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.

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

Verify at the official NPI Registry.