MEDICARE: SHAGHAEGH RAHIMI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	95257445	CA

General Provider Information

NPI Number	:	1487512885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAGHAEGH RAHIMI

Provider Business Mailing Address
First Line	:	6709 INDEPENDENCE AVE APT 119
Second Line	:
City	:	CANOGA PARK
State	:	CA
Zip	:	91303-3708
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	29229 CANWOOD ST STE 101
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-1503
Country	:	US
Telephone Number	:	818-654-4933
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

Similar Medicare Providers

1649596032 — DHIVYA SRINIVASA M.D.
Practice Location Address:

29229 CANWOOD ST STE 101
AGOURA HILLS, CA
91301-1503

Practice Phone: 818-336-1295
Practice Fax:

1174372577 — GAGANDEEP KAUR GILL NP
Practice Location Address:

29229 CANWOOD ST STE 101
AGOURA HILLS, CA
91301-1503

Practice Phone: 818-336-1295
Practice Fax: 818-337-1285

1922664226 — N & K NON-EMERGENCY MEDICAL TRANSPORTATION LLC
Practice Location Address:

12604 LITHUANIA DR
GRANADA HILLS, CA
91344-1503

Practice Phone: 818-929-0854
Practice Fax:

1295333706 — LUMEN CORDIS BEHAVIORAL HEALTH, LLC
Practice Location Address:

2936 HIDDEN HILLS RD APT 1503
WEST PALM BEACH, FL
33411-4826

Practice Phone: 954-643-3825
Practice Fax:

1205533411 — INDZHYFE UMEROVA
Practice Location Address:

10236 64TH AVE APT 4D
FOREST HILLS, NY
11375-1503

Practice Phone: 516-853-9938
Practice Fax:

1033512439 — MICHELLE REBECCA FOULADIAN PA-C
Practice Location Address:

29229 CANWOOD ST STE 112
AGOURA HILLS, CA
91301-1561

Practice Phone: 818-501-7276
Practice Fax:

Directions to “ SHAGHAEGH RAHIMI ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.