Provider Demographics
NPI:1861893976
Name:NADERI, SAHAR (NP)
Entity type:Individual
Prefix:
First Name:SAHAR
Middle Name:
Last Name:NADERI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 DISCOVERY
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3105
Mailing Address - Country:US
Mailing Address - Phone:949-526-8390
Mailing Address - Fax:949-526-8391
Practice Address - Street 1:52 DISCOVERY
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3105
Practice Address - Country:US
Practice Address - Phone:949-526-8390
Practice Address - Fax:949-526-8391
Is Sole Proprietor?:No
Enumeration Date:2014-09-08
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA837655163W00000X
CA95002009363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse