Individual provider Active NPI

Zahra Bidari, AGNP

  • Gerontology Nurse Practitioner
  • Westlake Village, CA
National Provider Identifier
1821573403
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
95009603 Issued in CA
Practice address
875 S Westlake Blvd Ste 205
Westlake Village, CA 91361-2921
Phone
(805) 497-1777
NPI assigned
Sep 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 95009603 CA Primary

Addresses

Primary practice location

875 S Westlake Blvd Ste 205
Westlake Village, CA 91361-2921

Mailing address

875 S Westlake Blvd Ste 205
Westlake Village, CA 91361-2921
Phone (818) 468-1319

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95009603CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Home Health, Inc. Past Accepting new patients
Infinite Home Health, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1821573403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 S WESTLAKE BLVD STE 205",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612921",
            "telephone_number": "818-468-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 S WESTLAKE BLVD STE 205",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612921",
            "telephone_number": "805-497-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDARI",
        "first_name": "ZAHRA",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95009603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.