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DR. ALFRED ROBENZADEH MD
NPI 1083972509
Psychiatry & Neurology - Child & Adolescent Psychiatry in Pasadena, CA

Active since May 03, 2012PECOS EnrolledAccepts Medicare Assignment
940 AVENUE 64, PASADENA, CA 91105(323) 254-2274 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2021, Aug 6, 2019, Jan 12, 2017 (3 updates tracked since 2017).

About Dr. Alfred Robenzadeh Md NPPES

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

DR. ALFRED ROBENZADEH MD (NPI 1083972509) is an individual child & adolescent psychiatry provider in Pasadena, California, licensed in California (A149046) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1083972509
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. ALFRED ROBENZADEHCredential: MD
Location Address940 AVENUE 64Pasadena, CA 91105-2711
Mailing Address815 Colorado Blvd Ste 300Los Angeles, CA 90041-1744 · (323) 543-2800 · Fax (323) 978-1263
Phone(323) 254-2274
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 3, 2012
Last NPPES UpdateMay 21, 20213 updates tracked since enumeration
NPPES CertifiedMay 21, 2021
✔ NPI 1083972509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in CA · A149046✔ Licensed in NY · 280380
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 280380 (NY)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 280380 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
940 AVENUE 64, Pasadena, CA 91105
Open in Google Maps ↗

Secondary Practice Location 1

Location 11449 Lexington Ave Ste 2ENew York, NY 10128 · Phone (516) 491-0064

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

Dr. Alfred Robenzadeh Md 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 ID1759811771
PECOS Enrollment IDI20250226001360
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.

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.

MICHELLE LUTZ
Rehabilitation Practitioner
940 AVENUE 64
PASADENA, CA 91105
Los Angeles County (323) 254-2274
FATIMA JACKSON BS
Rehabilitation Practitioner
940 AVENUE 64
PASADENA, CA 91105
Los Angeles County (323) 255-0978
JASMIN ASHLEY CASTILLO
Rehabilitation Practitioner
940 AVENUE 64
PASADENA, CA 91105
Los Angeles County (323) 254-2274
ASHLEE ALEXIS POWELL
Rehabilitation Practitioner
940 AVENUE 64
PASADENA, CA 91105
Los Angeles County (323) 254-2274
LESLIE MORGAN WILLIAMS
Student in an Organized Health Care Education/Training Program
940 AVENUE 64
PASADENA, CA 91105
Los Angeles County (323) 254-2274
ERIKA MEDINA ASW
Social Worker
940 AVENUE 64
PASADENA, CA 91105
Los Angeles County (323) 254-2274
JOSHUA CHRISTOPHER MATHIEU
Rehabilitation Practitioner
940 AVENUE 64
PASADENA, CA 91105
Los Angeles County (323) 254-2274
AIMEE GARAY
Rehabilitation Practitioner
940 AVENUE 64
PASADENA, CA 91105
Los Angeles County (323) 543-2800

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 Alfred Robenzadeh's NPI number?

The NPI number for Alfred Robenzadeh is 1083972509. It was assigned to this individual provider in the NPPES registry on May 3, 2012.

Where is Alfred Robenzadeh located?

Alfred Robenzadeh practices at 940 Avenue 64, Pasadena, CA 91105. The listed phone number is (323) 254-2274.

What is Alfred Robenzadeh's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Alfred Robenzadeh enrolled in Medicare?

Yes. Alfred Robenzadeh 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 Alfred Robenzadeh was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.