Active NPI
Sabrina Shaya Broomandan, NP
- Acute Care Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1740106814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 95039630
- Practice address
- 11645 Wilshire Blvd Ste 1155
Los Angeles, CA 90025-6807 - Phone
- (424) 273-9732
- NPI assigned
- Jun 24, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95039630 | CA | Primary |
Addresses
Primary practice location
11645 Wilshire Blvd Ste 1155
Los Angeles, CA 90025-6807
Mailing address
11645 Wilshire Blvd Ste 1155
Los Angeles, CA 90025-6807
Phone (424) 273-9732
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1740106814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11645 WILSHIRE BLVD STE 1155",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256807",
"telephone_number": "424-273-9732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11645 WILSHIRE BLVD STE 1155",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256807",
"telephone_number": "424-273-9732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOMANDAN",
"first_name": "SABRINA",
"middle_name": "SHAYA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-24",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95039630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.