Individual provider · Type 1 NPI

Azita Ghaderifard, FNP

Family Nurse Practitioner · Lake Forest, CA

NPI number 1467753129 Active

Practice location

23101 Lake Center Dr, 130
Lake Forest, CA 92630-2801

Fax (949) 861-6810

Other practice locations

  • 5050 Barranca Pkwy, Irvine, CA 92604-4698 · (949) 936-8780

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X14410 (CA)
Adult Health Nurse Practitioner 363LA2200X577516 (TX)
Family Nurse Practitioner 363LF0000X577516 (TX)
Nurse Practitioner 363L00000X577516 (TX)

Family Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1467753129

Azita Ghaderifard, FNP's National Provider Identifier is 1467753129, issued on Nov 11, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake Forest, CA. The record was last updated on Aug 14, 2026.