FELIX NA AHMEDOV RN
NPI 1083372361
Registered Nurse - Psychiatric/Mental Health in Gardena, CA

Q: What is Felix Ahmedov's NPI number?

The NPI number for Felix Ahmedov is 1083372361. It was assigned to this individual provider in the NPPES registry on December 3, 2021.

Q: What is Felix Ahmedov's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Q: When was this NPI record last updated?

The NPPES record for Felix Ahmedov was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since December 03, 2021PECOS EnrolledAccepts Medicare Assignment

1225 W 190TH ST STE 280, GARDENA, CA 90248(310) 515-8113(310) 538-2102 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Felix Na Ahmedov Rn NPPES

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

FELIX NA AHMEDOV RN (NPI 1083372361) is an individual psychiatric/mental health provider in Gardena, California, licensed in California (700625) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Van Nuys, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1083372361

Entity TypeIndividualMale

Primary Taxonomy163WP0808X

Provider Legal NameFELIX NA AHMEDOVCredential: RN

Location Address1225 W 190TH ST STE 280Gardena, CA 90248-4305

Mailing Address14541 Delano StVan Nuys, CA 91411-2820 · (818) 625-7630

Phone(310) 515-8113

Fax(310) 538-2102

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 3, 2021

Last NPPES UpdateApril 17, 2023

NPPES CertifiedApril 17, 2023

✔ NPI 1083372361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers

Taxonomy Code163WP0808X

License✔ Licensed in CA · 700625

1225 W 190TH ST STE 280, Gardena, CA 90248

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Secondary Practice Location 1

Location 114541 Delano StVan Nuys, CA 91411-2820 · Phone (818) 625-7630

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

Felix Na Ahmedov Rn 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 ID6204292329

PECOS Enrollment IDI20230516001812

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 Felix Ahmedov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ehab Yacoub MD Inc.

Same address

Child & Adolescent Psychiatry

1225 W 190TH ST STE 280
Gardena, CA 90248

Reassigned Medicare billing, California enrollment
375 clinicians in this Medicare group

NPI 1417373713 (310) 515-8113

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

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.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

172 services13 patients

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.

DR. JUAN CRISTOBAL RONDEAU MD

Psychiatry & Neurology (Psychiatry)