1. Home
  2. Directory
  3. California
  4. Fair Oaks
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

NILOOFAR RADGOUDARZI MD
NPI 1255135356
Student in an Organized Health Care Education/Training Program in Fair Oaks, CA

Active since April 01, 2025PECOS Enrolled
5139 RIDGEVINE WAY, FAIR OAKS, CA 95628(916) 719-3343 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Niloofar Radgoudarzi Md NPPES

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

NILOOFAR RADGOUDARZI MD (NPI 1255135356) is an individual student in an organized health care education/training program in Fair Oaks, California and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255135356
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNILOOFAR RADGOUDARZICredential: MD
Location Address5139 RIDGEVINE WAYFair Oaks, CA 95628-3667
Mailing Address5139 Ridgevine WayFair Oaks, CA 95628-3667
Phone(916) 719-3343
Sole ProprietorNo
Enumeration DateApril 1, 2025
NPPES CertifiedApril 1, 2025
✔ NPI 1255135356 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.

5139 RIDGEVINE WAY, Fair Oaks, CA 95628
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Niloofar Radgoudarzi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Niloofar Radgoudarzi's NPI number?

The NPI number for Niloofar Radgoudarzi is 1255135356. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Niloofar Radgoudarzi located?

Niloofar Radgoudarzi practices at 5139 Ridgevine Way, Fair Oaks, CA 95628. The listed phone number is (916) 719-3343.

What is Niloofar Radgoudarzi's specialty?

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

Is Niloofar Radgoudarzi enrolled in Medicare?

Yes. Niloofar Radgoudarzi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Niloofar Radgoudarzi was last updated on April 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.