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

Adi Nisimov

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124674734

Adi Nisimov is a Student in an Organized Health Care Education/Training Program in Encino, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Encino, CA

Additional practice locations (1)

  • 14515 Hamlin St, Van Nuys, CA 91411-1686 — (818) 989-7475

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 23005 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124674734
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 11, 2019
Last updated in NPPESAugust 30, 2022
Certification dateAugust 30, 2022

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