FARNOOSH NADALIZADEH – Physician Assistant, NPI 1619665189

FARNOOSH NADALIZADEH is a healthcare provider. based in Irvine, California. specializing in PHYSICIAN ASSISTANT. The NPI Number for FARNOOSH NADALIZADEH is 1619665189

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
FARNOOSH NADALIZADEH
NPI
1619665189
Phone
(949) 413-9768
Address
400 LIMESTONE APT 311
Enumeration Date
24 April 2023
Last Update Date
29 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7144465192
Graduation Year
2023 (3 years ago)
PAC ID
0840632303
Group Practice PAC ID
3375884679
Professional Enrollment ID
I20240529002675
Address ID
CA928352626FU2720XBLVD402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness85
Years active:3State licenses:0Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for FARNOOSH NADALIZADEH

  • 400 LIMESTONE APT 311

    IRVINE, CA 926034109

    Phone: (949) 413-9768

    Type: Location

  • 113 WATERWORKS WAY STE 240

    IRVINE, CA 926183175

    Phone: (714) 446-5192

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $104.

Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Radius Health, Inc. ($53).

Total Amount

$104

General + Research + Ownership

Payments

4

Total payment records

General Amount

$104

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240529002675IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92603)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375884679View full group profile
NameSpecialtyState
Orthopedic SurgeryCA
Nurse PractitionerCA
Physician AssistantCA
Physician AssistantCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for FARNOOSH NADALIZADEH?
FARNOOSH NADALIZADEH — NPI 1619665189 — is the standard way to identify this listing.
Does CMS list FARNOOSH NADALIZADEH as active?
Yes — FARNOOSH NADALIZADEH is active in the NPI listing used on this page.
What healthcare role does FARNOOSH NADALIZADEH hold?
Scheduling teams often label FARNOOSH NADALIZADEH under Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is FARNOOSH NADALIZADEH based?
FARNOOSH NADALIZADEH is tied to Irvine, California in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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