MARJAN FARDGHASSEMI PSYD.
NPI 1073921359
Psychologist - Clinical in Los Angeles, CA
About Marjan Fardghassemi Psyd. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARJAN FARDGHASSEMI PSYD. (NPI 1073921359) is an individual clinical provider in Los Angeles, California, licensed in California (PSY26145) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses 2
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
Marjan Fardghassemi Psyd. 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.
Medicare Billing Reassignment
Medicare enrollment records show Marjan Fardghassemi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carlsbad, CA 92008
- Reassigned Medicare billing, California enrollment
- 223 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90010
LOS ANGELES, CA 90010
LOS ANGELES, CA 90010
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 Fardghassemi's NPI number?
The NPI number for Marjan Fardghassemi is 1073921359. It was assigned to this individual provider in the NPPES registry on July 30, 2014.
Where is Marjan Fardghassemi located?
Marjan Fardghassemi practices at 4929 Wilshire Blvd Suite Number 510, Los Angeles, CA 90010. The listed phone number is (562) 904-3999.
What is Marjan Fardghassemi's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Marjan Fardghassemi enrolled in Medicare?
Yes. Marjan Fardghassemi 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 Fardghassemi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marjan Fardghassemi reassigns Medicare benefits to Memory Check Psychological Services, A Professional Corporation (Carlsbad, 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 Fardghassemi'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 Fardghassemi was last updated on March 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Marjan Fardghassemi, PSYD. · NPI 1073921359
Clinical provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since July 30, 2014.
## Identity
- **NPI:** 1073921359 (Entity type: Individual)
- **Enumerated:** July 30, 2014
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY26145 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4929 WILSHIRE BLVD, SUITE NUMBER 510, Los Angeles, CA 90010-3808
- **Phone:** (562) 904-3999 · **Fax:** (855) 688-6746
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Memory Check Psychological Services, A Professional Corporation (NPI 1912184219, Carlsbad, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** March 29, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1073921359) · Data from the CMS NPPES public registry.