ANNA MRELASHVILI M.D.
NPI 1093028714
Psychiatry & Neurology - Child & Adolescent Psychiatry in Fremont, CA

Q: What is Anna Mrelashvili's NPI number?

The NPI number for Anna Mrelashvili is 1093028714. It was assigned to this individual provider in the NPPES registry on July 22, 2010.

Q: What is Anna Mrelashvili's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anna Mrelashvili was last updated on April 14, 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.

Active since July 22, 2010PECOS Enrolled

39650 LIBERTY ST, FREMONT, CA 94538(408) 524-5700(408) 523-3625 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2021, Apr 11, 2018, Mar 13, 2018 and 3 more (6 updates tracked since 2016).

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About Anna Mrelashvili M.d. NPPES

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

ANNA MRELASHVILI M.D. (NPI 1093028714) is an individual child & adolescent psychiatry provider in Fremont, California, licensed in California (A161653) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1093028714

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameANNA MRELASHVILICredential: M.D.

Location Address39650 LIBERTY STFremont, CA 94538-2223

Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (408) 524-5700 · Fax (408) 523-3625

Phone(408) 524-5700

Fax(408) 523-3625

Sole ProprietorNo

Enumeration DateJuly 22, 2010

Last NPPES UpdateApril 14, 20216 updates tracked since enumeration

NPPES CertifiedApril 14, 2021

✔ NPI 1093028714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

Licenses✔ Licensed in CA · A161653✔ Licensed in SC · 38616

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.

39650 LIBERTY ST, Fremont, CA 94538

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Secondary Practice Location 1

Location 19 Richland Medical Park, Suite 110Columbia, SC 29203-6878 · Phone (803) 434-7961 · Fax (803) 434-7981

Other Identifiers 1

Medicaid386166SC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anna Mrelashvili M.d. 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.

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.

NEHA RAJKOTIA BADIYANI PT

Physical Therapist