Fazela Wasimi, NP

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

22375 Issued in CA

Practice address

4692 Mission Blvd
San Diego, CA 92109-2734

Phone

(619) 647-5072

Fax

(619) 330-4782

NPI assigned

Jun 26, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wfazela23757@syhealth.direct-ci.com
• Direct secure messaging: fwasimi@borregomedical.directbygreenway.com

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.

• Centro de Salud de la Comunidad de San Ysidro, Inc.

  dba San Ysidro Health Precision Park

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1124782685
  Medicare reassignment NPD
• Centro de Salud de la Comunidad de San Ysidro Inc

  dba San Ysidro Health Senior Dental Center

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1457033813
  NPD
• Centro de Salud de la Comunidad de San Ysidro,Inc

  dba San Ysidro Health Sherman Heights

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1598308926
  NPD
• Martin C Fineman MD Med Corp

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1689979114
  NPD
• Michael S Duffy Sr DO Inc

  dba Pacific Medical Care

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1316175342
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1780024588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7946 LAKE ADLON DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193117",
            "telephone_number": "619-303-0497",
            "fax_number": "619-330-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4692 MISSION BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092734",
            "telephone_number": "619-647-5072",
            "fax_number": "619-330-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASIMI",
        "first_name": "FAZELA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "696952",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "CA",
            "license": "22375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Li'En Washington, MD
• Valerie Washington
• Ashlyn Judith Rene Washkevich
• Michelene Wasil, LMFT
• Mike Scott Wasilisin, D.C.
• Erica Solange Wasinger
• Lisa Wasnock, LCSW
• Jack Wasserman, M.D.
• Jessica Wasserman
• Linda M Wasserman, M.D.

• Family Health Clinical Nurse Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Health Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.

Verify at the official NPI Registry.