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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. AZITA GHADERIFARD FNP
NPI 1467753129
Nurse Practitioner - Family in Lake Forest, CA

Active since November 11, 2010PECOS Enrolled
23101 LAKE CENTER DR, 130, LAKE FOREST, CA 92630(949) 716-9021(949) 861-6810 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ms. Azita Ghaderifard Fnp NPPES

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

MS. AZITA GHADERIFARD FNP (NPI 1467753129) is an individual family provider in Lake Forest, California, licensed in California (14410) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Irvine, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1467753129
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. AZITA GHADERIFARDCredential: FNP
Location Address23101 LAKE CENTER DR, 130Lake Forest, CA 92630-2801
Mailing Address23101 Lake Center Dr, 130Lake Forest, CA 92630-2801 · (949) 716-9021 · Fax (949) 861-6810
Phone(949) 716-9021
Fax(949) 861-6810
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 11, 2010
Last NPPES UpdateAugust 14, 2026
NPPES CertifiedAugust 14, 2026
✔ NPI 1467753129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CA · 14410✔ Licensed in TX · 577516
Also ListedNurse PractitionerTaxonomy 363L00000X · License 577516 (TX)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 577516 (TX)
23101 LAKE CENTER DR, Lake Forest, CA 92630
Open in Google Maps ↗

Secondary Practice Location 1

Location 15050 Barranca PkwyIrvine, CA 92604-4698 · Phone (949) 936-8780 · Fax (949) 936-8778

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Azita Ghaderifard Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335603729
PECOS Enrollment IDI20260716001357
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92630 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

MEGAN STRUDWICK
Specialist/Technologist (Speech-Language Assistant)
23101 LAKE CENTER DR, 240
LAKE FOREST, CA 92630
Orange County (949) 305-0315
DENISE A. LORENZ N.P.
Nurse Practitioner
23101 LAKE CENTER DR
LAKE FOREST, CA 92630
Orange County (949) 716-9021
PHILIP A STRAW D.C.
Chiropractor
23101 LAKE CENTER DR, 100
LAKE FOREST, CA 92630
Orange County (949) 297-3704
TRACIE FOURET
Specialist/Technologist (Speech-Language Assistant)
23101 LAKE CENTER DR, SUITE 240
LAKE FOREST, CA 92630
Orange County (949) 305-0315
DR. CLAUDIA SANDINO DC
Chiropractor
23101 LAKE CENTER DR
LAKE FOREST, CA 92630
Orange County (714) 415-8508
KEVIN M PRATT
Adult Companion
23101 LAKE CENTER DR
LAKE FOREST, CA 92630
Orange County (949) 463-2562
MARY M CHALABY
Specialist/Technologist (Speech-Language Assistant)
23101 LAKE CENTER DR
LAKE FOREST, CA 92630
Orange County (949) 305-0315
JASMINE GLENN SLPA
Specialist/Technologist (Speech-Language Assistant)
23101 LAKE CENTER DR
LAKE FOREST, CA 92630
Orange County (949) 305-0315

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 Azita Ghaderifard's NPI number?

The NPI number for Azita Ghaderifard is 1467753129. It was assigned to this individual provider in the NPPES registry on November 11, 2010.

Where is Azita Ghaderifard located?

Azita Ghaderifard practices at 23101 Lake Center Dr 130, Lake Forest, CA 92630. The listed phone number is (949) 716-9021.

What is Azita Ghaderifard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Azita Ghaderifard enrolled in Medicare?

Yes. Azita Ghaderifard is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Azita Ghaderifard was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.