Individual provider Active NPI

Mitra Heshmatpour, FNP-C

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1811808157
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95039342 Issued in CA
Practice address
11800 Goshen Ave Apt 107
Los Angeles, CA 90049-6370
Phone
(310) 945-7535
NPI assigned
Sep 15, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 95039342 CA Primary

Addresses

Primary practice location

11800 Goshen Ave Apt 107
Los Angeles, CA 90049-6370

Mailing address

11800 Goshen Ave Apt 107
Los Angeles, CA 90049-6370
Phone (310) 945-7535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1811808157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 GOSHEN AVE APT 107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496370",
            "telephone_number": "310-945-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 GOSHEN AVE APT 107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496370",
            "telephone_number": "310-945-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESHMATPOUR",
        "first_name": "MITRA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95039342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.