AVA SARA HOSSEINI RN
NPI 1194472514
Nurse Practitioner - Psychiatric/Mental Health in San Leandro, CA

Active since March 05, 2022Opted out of Medicare · through May 2, 2027
1100 SAN LEANDRO BLVD, SAN LEANDRO, CA 94577(510) 267-8000 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2022, Mar 5, 2022 (2 updates tracked since 2022).

About Ava Sara Hosseini Rn NPPES

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

AVA SARA HOSSEINI RN (NPI 1194472514) is an individual psychiatric/mental health provider in San Leandro, California, licensed in Oregon (202101558NP) and active in the NPI registry since March 2022. She has opted out of Medicare through May 2, 2027.

NPPES Registry Identity

NPI1194472514
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAVA SARA HOSSEINICredential: RN
Location Address1100 SAN LEANDRO BLVDSan Leandro, CA 94577-1595
Mailing Address407 E 9th StUpland, CA 91786-5340 · (909) 297-6366
Sole ProprietorNo
Enumeration DateMarch 5, 2022
Last NPPES UpdateApril 15, 20222 updates tracked since enumeration
NPPES CertifiedApril 15, 2022
NPI 1194472514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OR · 202101558NP
Also ListedRegistered NurseTaxonomy 163W00000X · License 95174923 (CA)
1100 SAN LEANDRO BLVD, San Leandro, CA 94577

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Ava Sara Hosseini Rn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 2, 2023 through May 2, 2027.

Opt-Out Effective DateMay 2, 2023
Opt-Out In Effect ThroughMay 2, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

Registered Nurse
1100 SAN LEANDRO BLVD
SAN LEANDRO, CA 94577
Registered Nurse (Case Management)
1100 SAN LEANDRO BLVD
SAN LEANDRO, CA 94577
Registered Nurse
1100 SAN LEANDRO BLVD
SAN LEANDRO, CA 94577
Registered Nurse
1100 SAN LEANDRO BLVD
SAN LEANDRO, CA 94577
Internal Medicine (Infectious Disease)
1100 SAN LEANDRO BLVD
SAN LEANDRO, CA 94577
Preventive Medicine (Public Health & General Preventive Medicine)
1100 SAN LEANDRO BLVD
SAN LEANDRO, CA 94577
Registered Nurse (Community Health)
1100 SAN LEANDRO BLVD
SAN LEANDRO, CA 94577
Registered Nurse
1100 SAN LEANDRO BLVD
SAN LEANDRO, CA 94577

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 Ava Hosseini's NPI number?

The NPI number for Ava Hosseini is 1194472514. It was assigned to this individual provider in the NPPES registry on March 5, 2022.

Where is Ava Hosseini located?

Ava Hosseini practices at 1100 San Leandro Blvd, San Leandro, CA 94577. The listed phone number is (510) 267-8000.

What is Ava Hosseini's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ava Hosseini enrolled in Medicare?

No. Ava Hosseini has opted out of Medicare through May 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Ava Hosseini accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Ava Hosseini as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ava Hosseini was last updated on April 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.