NASIM HOLLY RAEISI
NPI 1477102010
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Sherman Oaks, CA

Active since September 06, 2019
14049 VENTURA BLVD, SHERMAN OAKS, CA 91423(747) 233-6108 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2026, Sep 6, 2019 (2 updates tracked since 2019).

About Nasim Holly Raeisi NPPES

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

NASIM HOLLY RAEISI (NPI 1477102010) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Sherman Oaks, California, licensed in California (85347) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1477102010
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameNASIM HOLLY RAEISI
Location Address14049 VENTURA BLVDSherman Oaks, CA 91423-3511
Mailing Address18550 Burbank Blvd Apt 115Tarzana, CA 91356-2619 · (304) 685-4975
Sole ProprietorNo
Enumeration DateSeptember 6, 2019
Last NPPES UpdateJune 3, 20262 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
NPI 1477102010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License Licensed in CA · 85347
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Also ListedPharmacistTaxonomy 183500000X · License 26467 (MD)
14049 VENTURA BLVD, Sherman Oaks, CA 91423

Other Providers at the Same Location NPPES 7

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

Pharmacist
14049 VENTURA BLVD
SHERMAN OAKS, CA 91423
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
14049 VENTURA BLVD
SHERMAN OAKS, CA 91423
Pharmacist
14049 VENTURA BLVD
SHERMAN OAKS, CA 91423
Pharmacist
14049 VENTURA BLVD
SHERMAN OAKS, CA 91423
Pharmacy (Community/Retail Pharmacy)
14049 VENTURA BLVD
SHERMAN OAKS, CA 91423
Pharmacist
14049 VENTURA BLVD
SHERMAN OAKS, CA 91423
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
14049 VENTURA BLVD
SHERMAN OAKS, CA 91423

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 Nasim Raeisi's NPI number?

The NPI number for Nasim Raeisi is 1477102010. It was assigned to this individual provider in the NPPES registry on September 6, 2019.

Where is Nasim Raeisi located?

Nasim Raeisi practices at 14049 Ventura Blvd, Sherman Oaks, CA 91423. The listed phone number is (747) 233-6108.

What is Nasim Raeisi's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Nasim Raeisi was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.