Individual provider Active NPI

Nasreen Safdar Rahman, FNP

  • Family Nurse Practitioner
  • Cerritos, CA
National Provider Identifier
1801161807
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
627387 Issued in CA
Practice address
12900 Park Plaza Dr Ste 150
Cerritos, CA 90703-9329
Phone
(714) 654-0786
NPI assigned
Mar 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 627387 CA Primary

Addresses

Primary practice location

12900 Park Plaza Dr Ste 150
Cerritos, CA 90703-9329

Mailing address

12900 Park Plaza Dr Ste 150
Cerritos, CA 90703-9329
Phone (714) 654-0786

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
I20160421002076 CA Practitioner - Nurse Practitioner 9830415298 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Sep 19, 2016 Accepting new patients
Central City Community Health Center Inc General Practice Current Accepting new patients
Grow Healthcare Group PC CurrentSince Feb 17, 2023 Accepting new patients
Pih Health Physicians Current Accepting new patients
Central City Community Health Center Inc CurrentSince Dec 29, 2019 Accepting new patients
Central City Community Health Center Inc CurrentSince Dec 29, 2019 Accepting new patients
Pih Health Physicians CurrentSince Sep 19, 2016 Accepting new patients

Locations

4160 Maine Ave
Ste B1
Baldwin Park, CA 91706
Phone (626) 384-2400

4126 Maine Ave
Baldwin Park, CA 91706
Phone (626) 653-0800

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

2019 Saturn St
Monterey Park, CA 91755
Phone (323) 724-0019

1860 Hamner Ave
Norco, CA 92860
Phone (951) 479-0070

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

15733 Whittier Blvd
Whittier, CA 90603
Phone (562) 947-7754

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 7

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": "1331251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1801161807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 PARK PLAZA DR STE 150",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039329",
            "telephone_number": "714-654-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 PARK PLAZA DR STE 150",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039329",
            "telephone_number": "714-654-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "NASREEN",
        "middle_name": "SAFDAR",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "627387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.