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KIAN MILES FAHIMDANESH MD
NPI 1083401277
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since April 22, 2025PECOS Enrolled
1100 N STATE ST RM CTA4E, LOS ANGELES, CA 90033(323) 409-4535 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kian Miles Fahimdanesh Md NPPES

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

KIAN MILES FAHIMDANESH MD (NPI 1083401277) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083401277
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKIAN MILES FAHIMDANESHCredential: MD
Location Address1100 N STATE ST RM CTA4ELos Angeles, CA 90033-5000
Mailing Address1100 N State St Rm Cta4eLos Angeles, CA 90033-5000 · (323) 409-4535
Phone(323) 409-4535
Sole ProprietorNo
Enumeration DateApril 22, 2025
NPPES CertifiedApril 14, 2025
✔ NPI 1083401277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1100 N STATE ST RM CTA4E, Los Angeles, CA 90033
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Other Identifiers 3

Other568946544Bcbs
Medicaid236CA
Other5874Health Partners

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kian Miles Fahimdanesh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Kian Fahimdanesh's NPI number?

The NPI number for Kian Fahimdanesh is 1083401277. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Where is Kian Fahimdanesh located?

Kian Fahimdanesh practices at 1100 N State St Rm Cta4e, Los Angeles, CA 90033. The listed phone number is (323) 409-4535.

What is Kian Fahimdanesh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kian Fahimdanesh enrolled in Medicare?

Yes. Kian Fahimdanesh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kian Fahimdanesh was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.