Provider Demographics
NPI:1285307603
Name:SALEHIKASAEI, PARVIN (RN, MSC)
Entity type:Individual
Prefix:
First Name:PARVIN
Middle Name:
Last Name:SALEHIKASAEI
Suffix:
Gender:F
Credentials:RN, MSC
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN, MSC
Mailing Address - Street 1:2494 HENRY AVE
Mailing Address - Street 2:
Mailing Address - City:PINOLE
Mailing Address - State:CA
Mailing Address - Zip Code:94564-1372
Mailing Address - Country:US
Mailing Address - Phone:858-531-2269
Mailing Address - Fax:
Practice Address - Street 1:2494 HENRY AVE
Practice Address - Street 2:
Practice Address - City:PINOLE
Practice Address - State:CA
Practice Address - Zip Code:94564-1372
Practice Address - Country:US
Practice Address - Phone:858-531-2269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95208654163WN0003X, 163WR1000X, 163WW0101X, 364SW0102X, 163WP1700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP1700XNursing Service ProvidersRegistered NursePerinatal
No163WN0003XNursing Service ProvidersRegistered NurseNeonatal, Low-Risk
No163WR1000XNursing Service ProvidersRegistered NurseReproductive Endocrinology/Infertility
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
No364SW0102XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95208654OtherBOARD OF REGISTERED NURSING