MR. BABAK KHORRAM (PHYSICIAN ASSISTANT) – Medical Physician Assistant, NPI 1902820152

MR. BABAK KHORRAM (PHYSICIAN ASSISTANT) is a healthcare provider. based in Norwalk, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. PA14508 (CA). The NPI Number for MR. BABAK KHORRAM (PHYSICIAN ASSISTANT) is 1902820152

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MR. BABAK KHORRAM (PHYSICIAN ASSISTANT)
NPI
1902820152
Phone
(562) 868-0733
Address
13330 BLOOMFIELD AVE
Enumeration Date
27 July 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5628655214
Graduation Year
1997 (29 years ago)
PAC ID
1456380468
Group Practice PAC ID
8022040013
Professional Enrollment ID
I20050810000652
Address ID
CA907161122HA21508BLVD300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

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Provider Addresses for MR. BABAK KHORRAM (PHYSICIAN ASSISTANT)

  • 13330, Bloomfield Avenue, Norwalk, Los Angeles County, California, 90650, United States

    NORWALK, CA 906503251

    Phone: (562) 868-0733

    Type: Location

  • 62, Rockport, Myford, Lower Peters Canyon, Irvine, Orange County, California, 92602, United States

    IRVINE, CA 926021050

    Phone: (562) 868-0733

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $353.

Total Amount is formed as General ($353) + Research ($0) + Ownership ($0) = $353.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Abbott Laboratories ($208).

Total Amount

$353

General + Research + Ownership

Payments

16

Total payment records

General Amount

$353

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$208
Amgen Inc.$145
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: 2005-08-10

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
I20050810000652IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes14491$0
99213Established patient office or other outpatient visit, 20-29 minutes7452$0
99215Established patient office or other outpatient visit, 40-54 minutes6459$0
G0008Administration of influenza virus vaccine3735$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2828$0
View full utilization report →

Insurance plans in this area (ZIP 90650)

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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: 8022040013View full group profile
NameSpecialtyState
Family PracticeCA
Family PracticeCA

Reviews

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Frequently asked questions

Where can patients find MR. BABAK KHORRAM (PHYSICIAN ASSISTANT)'s NPI?
You can confirm MR. BABAK KHORRAM (PHYSICIAN ASSISTANT) with NPI 1902820152; it appears in the national provider directory.
Does this profile mean MR. BABAK KHORRAM (PHYSICIAN ASSISTANT) is currently active?
Yes — MR. BABAK KHORRAM (PHYSICIAN ASSISTANT) appears active in the national provider directory.
Does MR. BABAK KHORRAM (PHYSICIAN ASSISTANT) list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for MR. BABAK KHORRAM (PHYSICIAN ASSISTANT). Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. BABAK KHORRAM (PHYSICIAN ASSISTANT)?
The page summarizes Norwalk, California for MR. BABAK KHORRAM (PHYSICIAN ASSISTANT); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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