Individual provider Active NPI

Naser Feizi

  • General Practice Registered Nurse
  • La, CA
National Provider Identifier
1851154926
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
95222576 Issued in CA
Practice address
12340 Santa Monica Blvd, Suite 302
La, CA 90025
Phone
(818) 261-9193
NPI assigned
Feb 1, 2024
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 95222576 CA Primary

Addresses

Primary practice location

12340 Santa Monica Blvd, Suite 302
La, CA 90025

Mailing address

12340 Santa Monica Blvd, Suite 302
La, CA 90025
Phone (818) 261-9193

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
I20260521001229 CA Practitioner - Nurse Practitioner 0244709020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altea Medical California PCGroup PAC ID 1850740150, 84 clinicians

Practice addresses (Care Compare)

5650 Reseda Blvd
Tarzana, CA 91356-2230
Phone (888) 408-7008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95222576CAMDGeneral Practice Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1851154926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12340 SANTA MONICA BLVD, SUITE 302",
            "city": "LA",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "818-261-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12340 SANTA MONICA BLVD, SUITE 302",
            "city": "LA",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "818-261-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIZI",
        "first_name": "NASER",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "95222576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La, CA

Sources for this page

Verify at the official NPI Registry.