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NIKI MORTAZAVIENTESAB MD
NPI 1083408777
Student in an Organized Health Care Education/Training Program in Colton, CA

Active since April 07, 2025
400 N PEPPER AVE, COLTON, CA 92324(909) 580-6343 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Niki Mortazavientesab Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIKI MORTAZAVIENTESAB MD (NPI 1083408777) is an individual student in an organized health care education/training program in Colton, California and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1083408777
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNIKI MORTAZAVIENTESABCredential: MD
Location Address400 N PEPPER AVEColton, CA 92324-1819
Mailing Address400 N Pepper AveColton, CA 92324-1819
Phone(909) 580-6343
Sole ProprietorNo
Enumeration DateApril 7, 2025
Last NPPES UpdateApril 8, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1083408777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
400 N PEPPER AVE, Colton, CA 92324
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE J CALHOUN
Licensed Psychiatric Technician
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-1800
CINDY COZART
Registered Nurse (Psychiatric/Mental Health)
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-1800
ARROWHEAD REGIONAL MEDICAL CENTER
General Acute Care Hospital
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-1000
LINDA MATTHEWS
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-3144
BRANDI DEUEL
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-3144
CHIQUE LOU FLORES RN
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-1800
KEVIN THIEN ONG
Student in an Organized Health Care Education/Training Program
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (510) 525-6927
CAROLYN M DOHERTY MD
Otolaryngology
400 N PEPPER AVE, MOB SUITE 308
COLTON, CA 92324
San Bernardino County (909) 580-3353

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Niki Mortazavientesab's NPI number?

The NPI number for Niki Mortazavientesab is 1083408777. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Where is Niki Mortazavientesab located?

Niki Mortazavientesab practices at 400 N Pepper Ave, Colton, CA 92324. The listed phone number is (909) 580-6343.

What is Niki Mortazavientesab's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Niki Mortazavientesab was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.