Individual provider Active NPI

Farhad Ghasemi Nikoo, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Forest, CA
National Provider Identifier
1740485101
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
18138 Issued in CA
Practice address
23832 Rockfield Blvd Ste 120
Lake Forest, CA 92630-2870
Phone
(714) 769-6090
NPI assigned
Jun 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 18138 CA Primary
Family Nurse Practitioner 363LF0000X 18138 CA
Registered Nurse 163W00000X 726112 CA

Addresses

Primary practice location

23832 Rockfield Blvd Ste 120
Lake Forest, CA 92630-2870

Mailing address

23832 Rockfield Blvd Ste 120
Lake Forest, CA 92630-2870
Phone (714) 769-6090

Other names 1

  • Farhad Ghasemi-Nikoo Other name

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
I20090223000335 CA Practitioner - Nurse Practitioner 9133214083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance Psychiatric Group Inc a Medical CorporationGroup PAC ID 1254675812, 2 clinicians

Practice addresses (Care Compare)

2082 Business Ctr Dr
Suite 255
Irvine, CA 92612-1162
Phone (714) 769-6090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18138CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Psychiatric Group Inc a Medical Corporation Psychiatric/Mental Health CurrentSince Jul 15, 2023 Accepting new patients
Wholecare Health a Professional Nursing Corporation Psychiatric/Mental Health Current Accepting new patients
Cure4Feet Podiatry Group Inc PastSince Oct 15, 2013 Accepting new patients
Progeny TMS Corporation PastSince Mar 12, 2023 Accepting new patients
Los Robles Emergency Physicians Medical Group PastSince Mar 12, 2023 Accepting new patients
United Medical Care Center Inc. PastSince May 1, 2013 Accepting new patients

Locations

2082 Business Center Dr
Ste 255
Irvine, CA 92612
Phone (714) 769-6090

23832 Rockfield Blvd
Ste 120
Lake Forest, CA 92630
Phone (949) 212-6228

17601 17th St
Ste 120
Tustin, CA 92780
Phone (657) 210-4547

Interoperability endpoints

  • Direct secure messaging: farhad.nikoo.1@18773.direct.athenahealth.com

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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1740485101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23832 ROCKFIELD BLVD STE 120",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302870",
            "telephone_number": "714-769-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23832 ROCKFIELD BLVD STE 120",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302870",
            "telephone_number": "714-769-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKOO",
        "first_name": "FARHAD",
        "middle_name": "GHASEMI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "18138",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "18138",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "726112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FARHAD",
            "last_name": "GHASEMI-NIKOO",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Forest, CA

Sources for this page

Verify at the official NPI Registry.