Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Azita Ghaderifard, FNP

Individual provider Family Nurse Practitioner · NPI 1467753129

MS. Azita Ghaderifard, FNP is a Nurse Practitioner in Lake Forest, California. Qualified in 2015, 11 years ago. Practices as a sole proprietor. Licensed in California and Texas.

Years since qualifying
11
Licensed in
CA, TX
In the registry since
2010
Specialties on file
4
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

23101 Lake Center Dr 130
Lake Forest, CA 92630-2801
Phone: (949) 716-9021
Fax: (949) 861-6810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 14410 (CA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 577516 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 577516 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence 577516 (TX)

Record details

NPI number1467753129
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedNovember 11, 2010
Last updated in NPPESNovember 4, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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