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

Shima Pezeshki, NP

Individual provider Nurse Practitioner · NPI 1518632421

Shima Pezeshki, NP is a Nurse Practitioner in Toluca Lake, California. Qualified in 2020, 6 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2021
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

11218 Camarillo St Apt 307
Toluca Lake, CA 91602-1261
Phone: (310) 500-9068
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95017797 (CA)

Record details

NPI number1518632421
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedAugust 12, 2021
Last updated in NPPESAugust 12, 2021
Certification dateAugust 12, 2021
Mailing address11218 Camarillo St Apt 307, Toluca Lake, CA 91602-1261

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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