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

Niloufar Reisian, MD

Individual provider Clinical Medical Laboratory · NPI 1124312475

Niloufar Reisian, MD is a Pathology in Orange, California. Qualified in 2004, 22 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment.

Years since qualifying
22
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 The City Dr S Bldg 1- Rm 3003
Orange, CA 92868-3201
Phone: (714) 456-6141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Clinical Medical Laboratory Taxonomy 291U00000X

Record details

NPI number1124312475
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 3, 2011
Last updated in NPPESOctober 25, 2021
Certification dateOctober 25, 2021
Mailing address4647 Zion Ave, Room B738b, San Diego, CA 92120-2507

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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