Provider Demographics
NPI:1720872906
Name:RAHBAR, IRAN (RN, PHN, CSN)
Entity type:Individual
Prefix:
First Name:IRAN
Middle Name:
Last Name:RAHBAR
Suffix:
Gender:
Credentials:RN, PHN, CSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4048 HILLTOP RD APT B
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-6449
Mailing Address - Country:US
Mailing Address - Phone:805-406-1687
Mailing Address - Fax:
Practice Address - Street 1:500 DYER ST
Practice Address - Street 2:
Practice Address - City:ORCUTT
Practice Address - State:CA
Practice Address - Zip Code:93455-5300
Practice Address - Country:US
Practice Address - Phone:805-938-8989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-04
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHN551503364SC1501X
CARN95099045163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
No364SC1501XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCommunity Health/Public Health