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MARJAN FARDGHASSEMI PSYD.
NPI 1073921359
Psychologist - Clinical in Los Angeles, CA

Active since July 30, 2014PECOS EnrolledAccepts Medicare Assignment
4929 WILSHIRE BLVD, SUITE NUMBER 510, LOS ANGELES, CA 90010(562) 904-3999(855) 688-6746 Get Directions Write a Review

NPPES record last updated: March 29, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 29, 2018, Jan 20, 2017 (2 updates tracked since 2017).

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

NPI1073921359
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMARJAN FARDGHASSEMICredential: PSYD.
Location Address4929 WILSHIRE BLVD, SUITE NUMBER 510Los Angeles, CA 90010-3808
Mailing Address4929 Wilshire Blvd, Suite Number 510Los Angeles, CA 90010-3808 · (562) 904-3999 · Fax (855) 688-6746
Phone(562) 904-3999
Fax(855) 688-6746
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 30, 2014
Last NPPES UpdateMarch 29, 20182 updates tracked since enumeration
✔ NPI 1073921359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY26145
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X · License PSY26145 (CA)
4929 WILSHIRE BLVD, Los Angeles, CA 90010
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID749407310
PECOS Enrollment IDI20140806001004
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.

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.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
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.

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.

TIARA RODRIGUEZ PSY.D.
Psychologist (Clinical)
4929 WILSHIRE BLVD, SUITE NUMBER 510
LOS ANGELES, CA 90010
Los Angeles County (562) 904-3999
LAURA FEREN PHD.
Psychologist (Clinical)
4929 WILSHIRE BLVD, SUITE NUMBER 510
LOS ANGELES, CA 90010
Los Angeles County (562) 904-3999
LESLIE CHARLES PHD
Psychologist (Clinical)
4929 WILSHIRE BLVD
LOS ANGELES, CA 90010
Los Angeles County (760) 300-3664
JERRY VU PSY.D.
Psychologist (Clinical)
4929 WILSHIRE BLVD, SUITE NUMBER 510
LOS ANGELES, CA 90010
Los Angeles County (562) 904-3999
DR. LEWIS CHARLES CARR PH.D., ABPP
Psychologist (Clinical)
4929 WILSHIRE BLVD, SUITE NUMBER 510
LOS ANGELES, CA 90010
Los Angeles County (562) 904-3999
DR. LISA DRAXLER HANKEE PSY.D.
Psychologist (Clinical)
4929 WILSHIRE BLVD
LOS ANGELES, CA 90010
Los Angeles County (562) 904-3999
DR. BARBARA ELLEN FANNIN PHD
Psychologist (Clinical)
4929 WILSHIRE BLVD, SUITE NUMBER 510
LOS ANGELES, CA 90010
Los Angeles County (562) 904-3999
CALLIE KULAWIK PSY.D.
Psychologist (Clinical)
4929 WILSHIRE BLVD, SUITE 510
LOS ANGELES, CA 90010
Los Angeles County (562) 904-3999

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.

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.