Individual provider Active NPI

Sepideh H Nolan, RN

  • Registered Nurse
  • Torrance, CA
National Provider Identifier
1851099428
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
737466 Issued in CA
Practice address
20528 Hawthorne Blvd Ste 201
Torrance, CA 90503-3271
Phone
(424) 247-9090
NPI assigned
Feb 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 737466 CA Primary

Addresses

Primary practice location

20528 Hawthorne Blvd Ste 201
Torrance, CA 90503-3271

Mailing address

1902 S Anchovy Ave
San Pedro, CA 90732-4109

Other identifiers 1

IdentifierTypeStateIssuer
737466OtherCAREGISTERED NURSE

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
737466CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mehran Taban M.D. Inc. CurrentSince Feb 26, 2023 Accepting new patients
Elite Surgery Center of South Bay LLC PastSince Feb 26, 2023 Accepting new patients

Locations

20528 Hawthorne Blvd
Ste 201
Torrance, CA 90503
Phone (424) 247-9090

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": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1851099428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 S ANCHOVY AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907324109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20528 HAWTHORNE BLVD STE 201",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905033271",
            "telephone_number": "424-247-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "SEPIDEH",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "737466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "737466",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.