Healthcare Provider Details

I. General information

NPI: 1427970458
Provider Name (Legal Business Name): GOOD HEART NURSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12555 GARDEN GROVE BLVD STE 403
GARDEN GROVE CA
92843-1903
US

IV. Provider business mailing address

24742 QUEENS CT
LAGUNA NIGUEL CA
92677-7447
US

V. Phone/Fax

Practice location:
  • Phone: 949-468-9522
  • Fax:
Mailing address:
  • Phone: 949-468-9522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MERCEDEH ESMAEILI
Title or Position: NURSE PRACTITIONER
Credential: FNP
Phone: 949-468-9522