DR. MARJAN KARIMABADI M.D
NPI 1073839874
Family Medicine in Dana Point, CA

Active since April 19, 2010PECOS EnrolledAccepts Medicare Assignment
32585 GOLDEN LANTERN ST STE E, DANA POINT, CA 92629(949) 240-2555(949) 240-2121 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2024, Jan 12, 2016 (2 updates tracked since 2016).

About Dr. Marjan Karimabadi M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARJAN KARIMABADI M.D (NPI 1073839874) is an individual family medicine provider in Dana Point, California, licensed in California (A120192) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2009).

NPPES Registry Identity

NPI1073839874
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARJAN KARIMABADICredential: M.D
Location Address32585 GOLDEN LANTERN ST STE EDana Point, CA 92629-3252
Mailing Address32585 Golden Lantern St Ste EDana Point, CA 92629-3252 · (949) 240-2555 · Fax (949) 240-2121
Fax(949) 240-2121
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2009
Enumeration DateApril 19, 2010
Last NPPES UpdateOctober 7, 20242 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1073839874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A120192
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
32585 GOLDEN LANTERN ST STE E, Dana Point, CA 92629

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Marjan Karimabadi M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234371899
PECOS Enrollment IDI20130809000551
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Marjan Karimabadi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
17360 BROOKHURST ST
Fountain Valley, CA 92708
  • Reassigned Medicare billing, California enrollment
  • 948 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
108 services59 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
104 services56 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
70 services51 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
23 services23 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92629 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marjan Karimabadi's NPI number?

The NPI number for Marjan Karimabadi is 1073839874. It was assigned to this individual provider in the NPPES registry on April 19, 2010.

Where is Marjan Karimabadi located?

Marjan Karimabadi practices at 32585 Golden Lantern St Ste E, Dana Point, CA 92629. The listed phone number is (949) 240-2555.

What is Marjan Karimabadi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marjan Karimabadi enrolled in Medicare?

Yes. Marjan Karimabadi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Marjan Karimabadi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marjan Karimabadi reassigns Medicare benefits to Memorialcare Medical Foundation (Fountain Valley, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marjan Karimabadi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marjan Karimabadi was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.