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FAZELA WASIMI NP
NPI 1780024588
Clinical Nurse Specialist - Family Health in San Diego, CA

Active since June 26, 2013PECOS Enrolled
4692 MISSION BLVD, SAN DIEGO, CA 92109(619) 647-5072(619) 330-4782 Get Directions Write a Review

NPPES record last updated: March 22, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Fazela Wasimi Np NPPES

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

FAZELA WASIMI NP (NPI 1780024588) is an individual family health provider in San Diego, California, licensed in California (22375) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780024588
Entity TypeIndividualFemale
Primary Taxonomy364SF0001X
Provider Legal NameFAZELA WASIMICredential: NP
Location Address4692 MISSION BLVDSan Diego, CA 92109-2734
Mailing Address7946 Lake Adlon DrSan Diego, CA 92119-3117 · (619) 303-0497 · Fax (619) 330-4782
Phone(619) 647-5072
Fax(619) 330-4782
Sole ProprietorNo
Enumeration DateJune 26, 2013
Last NPPES UpdateMarch 22, 2016
✔ NPI 1780024588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · Family HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SF0001X
License✔ Licensed in CA · 22375
Also ListedRegistered NurseTaxonomy 163W00000X · License 696952 (CA)
4692 MISSION BLVD, San Diego, CA 92109
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fazela Wasimi Np 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.

Medicare Billing Reassignment

Medicare enrollment records show Fazela Wasimi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centro De Salud De La Comunidad De San Ysidro,inc
6.5 mi
Federally Qualified Health Center (FQHC)
550 WASHINGTON ST STE 331
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 577 clinicians in this Medicare group
NPI 1962177873 (619) 662-4100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92109 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers33 claims55 services$4.03 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers16 claims16 services$0.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Fazela Wasimi's NPI number?

The NPI number for Fazela Wasimi is 1780024588. It was assigned to this individual provider in the NPPES registry on June 26, 2013.

Where is Fazela Wasimi located?

Fazela Wasimi practices at 4692 Mission Blvd, San Diego, CA 92109. The listed phone number is (619) 647-5072.

What is Fazela Wasimi's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Family Health, with taxonomy code 364SF0001X.

Is Fazela Wasimi enrolled in Medicare?

Yes. Fazela Wasimi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fazela Wasimi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fazela Wasimi reassigns Medicare benefits to Centro De Salud De La Comunidad De San Ysidro,inc (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Fazela Wasimi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Fazela Wasimi was last updated on March 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.