Samaneh Fanaeian is a Santa Monica, California based nurse practitioner with 4 years of experience in Psych/Mental Health. She completed her graduation in 2020. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Samaneh Fanaeian is 95017465 for Psych/Mental Health in California. Her current practice location is 2656 29th St Ste 202, Santa Monica. Patients can reach her at 310-503-0221. Samaneh Fanaeian is NP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1417621434. Samaneh Fanaeian provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Samaneh Fanaeian speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Samaneh Fanaeian
Specialization:
Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:
Female
Credentials:
NP
Experience:
4+ years
Medical School Attended:
Other
Graduation Year:
2020
Accepts Medicare Assignment:
Yes
Practice Address:
2656 29th St Ste 202, Santa Monica, California, 90405-2984
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5193117885
Enrollment ID:
I20220107001781
NPI Number:
1417621434
NPI Enumeration Date:
03 Aug, 2021
NPI Last Update On:
02 Jan, 2023
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Samaneh Fanaeian are as mentioned below.
License Number
Specialization
State
Status
95017465
Psych/Mental Health
California
Primary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Samaneh Fanaeian is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Ehab Yacoub Md Inc. (5092099523)
42
Other Medical Identifiers:
Other legacy medical identifiers associated with Samaneh Fanaeian such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1417621434
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Samaneh Fanaeian 3931 W 58th Pl, Los Angeles, California
Zip:
90043-2913
Phone Number:
916-335-0727
Patients can reach Samaneh Fanaeian at 2656 29th St Ste 202, Santa Monica, California or can call to book an appointment on 310-503-0221.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.