Individual provider Active NPI

Nahid Siavoshi, NP

  • Family Nurse Practitioner
  • Corona, CA
National Provider Identifier
1841598232
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20032 Issued in CA
Practice address
2791 Green River Rd Ste 103
Corona, CA 92882-7452
Phone
(951) 735-5570
Fax
(951) 735-5572
NPI assigned
Mar 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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 20032 CA Primary

Addresses

Primary practice location

2791 Green River Rd Ste 103
Corona, CA 92882-7452

Mailing address

PO Box 18706
Anaheim, CA 92817-8706
Phone (714) 262-8977

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
I20241016003942 CA Practitioner - Nurse Practitioner 7315185345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthpointe Medical Group, Inc.Group PAC ID 0941299135, 35 clinicians

Practice addresses (Care Compare)

27455 Tierra Alta Way
Suite a
Temecula, CA 92590-3498
Phone (951) 699-5282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
20032CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpointe Medical Group, Inc. Current Accepting new patients

Locations

16702 Valley View Ave
La Mirada, CA 90638
Phone (562) 921-0341

27455 Tierra Alta Way
Ste A
Temecula, CA 92590
Phone (951) 699-5282

Organizations & group practices 1

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": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1841598232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18706",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928178706",
            "telephone_number": "714-262-8977",
            "fax_number": "951-735-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2791 GREEN RIVER RD STE 103",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928827452",
            "telephone_number": "951-735-5570",
            "fax_number": "951-735-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAVOSHI",
        "first_name": "NAHID",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.