Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NIKKI MOUSAVIZADEH
NPI 1437063229
Physician Assistant in Vallejo, CA

Active since September 30, 2026
1310 CLUB DR, VALLEJO, CA 94592(707) 638-5809 Get Directions Write a Review

NPPES record added: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Nikki Mousavizadeh NPPES

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

NIKKI MOUSAVIZADEH (NPI 1437063229) is an individual physician assistant in Vallejo, California and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1437063229
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNIKKI MOUSAVIZADEH
Location Address1310 CLUB DRVallejo, CA 94592-1187
Mailing Address34380 Pinnacles CtUnion City, CA 94587-3660 · (510) 299-6004
Sole ProprietorNo
Enumeration DateSeptember 30, 2026
NPPES CertifiedSeptember 29, 2026
✔ NPI 1437063229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1310 CLUB DR, Vallejo, CA 94592

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.

Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592

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 Nikki Mousavizadeh's NPI number?

The NPI number for Nikki Mousavizadeh is 1437063229. It was assigned to this individual provider in the NPPES registry on September 30, 2026.

Where is Nikki Mousavizadeh located?

Nikki Mousavizadeh practices at 1310 Club Dr, Vallejo, CA 94592. The listed phone number is (707) 638-5809.

What is Nikki Mousavizadeh's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Nikki Mousavizadeh was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.