MS. AZADEH GOLSHANI M.S.
NPI 1093064420
Psychologist - Clinical in Long Beach, CA
About Ms. Azadeh Golshani M.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. AZADEH GOLSHANI M.S. (NPI 1093064420) is an individual clinical provider in Long Beach, California, licensed in California (PSY28464) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Azadeh Golshani M.s. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Azadeh Golshani reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90034
- Reassigned Medicare billing, California enrollment
Hollywood, CA 90027
- Reassigned Medicare billing, California enrollment
- 146 clinicians in this Medicare group
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 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90807 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
LONG BEACH, CA 90807
LONG BEACH, CA 90807
LONG BEACH, CA 90807
LONG BEACH, CA 90807
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 Azadeh Golshani's NPI number?
The NPI number for Azadeh Golshani is 1093064420. It was assigned to this individual provider in the NPPES registry on August 30, 2012.
Where is Azadeh Golshani located?
Azadeh Golshani practices at 4300 Long Beach Blvd Ste 700, Long Beach, CA 90807. The listed phone number is (213) 385-5100.
What is Azadeh Golshani's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Azadeh Golshani enrolled in Medicare?
Yes. Azadeh Golshani 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.
Which organizations bill Medicare for Azadeh Golshani's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Azadeh Golshani reassigns Medicare benefits to 2 organizations: Dr Azadeh Golshani Psychologist PC (Los Angeles, CA) and Mission City Community Network, Inc. (Hollywood, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Azadeh Golshani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Azadeh Golshani was last updated on February 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Ms. Azadeh Golshani, M.S. · NPI 1093064420
Clinical provider in Long Beach, California. Individual provider, active in the CMS NPPES registry since August 30, 2012.
## Identity
- **NPI:** 1093064420 (Entity type: Individual)
- **Enumerated:** August 30, 2012
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY28464 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4300 LONG BEACH BLVD STE 700, Long Beach, CA 90807-2000
- **Phone:** (213) 385-5100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dr Azadeh Golshani Psychologist PC (NPI 1134658065, Los Angeles, CA); Mission City Community Network, Inc. (NPI 1710102009, Hollywood, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** February 15, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1093064420) · Data from the CMS NPPES public registry.