Individual provider Active NPI

Nisa Joorabchi

  • Primary Care Nurse Practitioner
  • Santa Ana, CA
National Provider Identifier
1740633973
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4704269419 Issued in MI
Practice address
1241 E Dyer Rd
Suite 145
Santa Ana, CA 92705-5611
Phone
(949) 449-1112
NPI assigned
Jul 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4704269419 MI Primary

Addresses

Primary practice location

1241 E Dyer Rd
Suite 145
Santa Ana, CA 92705-5611

Mailing address

2785 Ayershire Dr
Bloomfield Hills, MI 48302-0804
Phone (248) 396-5239

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Celebrating Life Community Health Center Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nisajoorabchi@clchc.allscriptsdirect.net

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": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1740633973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 AYERSHIRE DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020804",
            "telephone_number": "248-396-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 E DYER RD",
            "address_2": "SUITE 145",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055611",
            "telephone_number": "949-449-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOORABCHI",
        "first_name": "NISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704269419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.