Active NPI
Stella Nazarpoor, MSN, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Burbank, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95010942
- Practice address
- 800 S Victory Blvd Ste 106
Burbank, CA 91502-2489 - Phone
- (818) 860-0133
- Fax
- (818) 860-0134
- NPI assigned
- May 2, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95010942 | CA | Primary |
Addresses
Primary practice location
800 S Victory Blvd Ste 106
Burbank, CA 91502-2489
Mailing address
15621 Odyssey Dr
Unit 37
Granada Hills, CA 91344-3282
Phone (818) 404-4230
Other practice location 1
222 W Eulalia St Ste 301
Glendale, CA 91204-2851
Phone (818) 240-0108
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | granadahills | Direct |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95010942 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current | Accepting new patients |
Locations
510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416
1529 E Palmdale Blvd
Ste 150
Palmdale, CA 93550
Phone (661) 575-1800
2260 E Palmdale Blvd
Ste J
Palmdale, CA 93550
Phone (661) 575-1800
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1083633929
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Palmdale, CA
- NPI 1881627420
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Arcadia, CA
- NPI 1902676075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1770148058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15621 ODYSSEY DR",
"address_2": "UNIT 37",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913443282",
"telephone_number": "818-404-4230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S VICTORY BLVD STE 106",
"city": "BURBANK",
"state": "CA",
"postal_code": "915022489",
"telephone_number": "818-860-0133",
"fax_number": "818-860-0134"
}
],
"practiceLocations": [
{
"address_1": "222 W Eulalia St Ste 301",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912042851",
"country_code": "US",
"telephone_number": "818-240-0108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAZARPOOR",
"first_name": "STELLA",
"credential": "MSN, PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-02",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95010942",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "granadahills",
"affiliation": "N",
"endpointDescription": "psychnotes",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "granadahills",
"address_1": "222 W Eulalia St Ste 301",
"city": "Glendale",
"state": "CA",
"country_code": "US",
"postal_code": "912042851",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.