DR. EDWYNE D NAZARIAN MD
NPI 1093868655
Psychiatry & Neurology - Psychiatry in Kentfield, CA

Active since January 18, 2007Opted out of Medicare · through Apr 20, 2027
1036 SIR FRANCIS DRAKE BLVD, KENTFIELD, CA 94904(415) 456-9500(415) 456-6604 Get Directions Write a Review

NPPES record last updated: March 12, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Edwyne D Nazarian Md NPPES

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

DR. EDWYNE D NAZARIAN MD (NPI 1093868655) is an individual psychiatry provider in Kentfield, California, licensed in California (A38982) and active in the NPI registry since January 2007. She has opted out of Medicare through April 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093868655
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. EDWYNE D NAZARIANCredential: MD
Location Address1036 SIR FRANCIS DRAKE BLVDKentfield, CA 94904-1427
Mailing Address2154 Fourth StreetSan Rafael, CA 94901 · (415) 456-9500 · Fax (415) 842-7691
Fax(415) 456-6604
Sole ProprietorYes
Enumeration DateJanuary 18, 2007
Last NPPES UpdateMarch 12, 2019
NPI 1093868655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in CA · A38982
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1036 SIR FRANCIS DRAKE BLVD, Kentfield, CA 94904

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Edwyne D Nazarian Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 20, 2015 through April 20, 2027.

Opt-Out Effective DateApril 20, 2015
Opt-Out In Effect ThroughApril 20, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$202.63 typical visit price
range $69.07 – $202.63
Typical copayment $50.65 (range $17.26 – $50.65)
Most-billed visit code 99205
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Psychologist (Clinical)
1036 SIR FRANCIS DRAKE BLVD, SUITE 200
KENTFIELD, CA 94904
Marriage & Family Therapist
1036 SIR FRANCIS DRAKE BLVD, 200
KENTFIELD, CA 94904
Marriage & Family Therapist
1036 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marriage & Family Therapist
1036 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Psychiatry & Neurology (Psychiatry)
1036 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Psychologist
1036 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marriage & Family Therapist
1036 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Dentist (General Practice)
1036 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904

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 Edwyne Nazarian's NPI number?

The NPI number for Edwyne Nazarian is 1093868655. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Edwyne Nazarian located?

Edwyne Nazarian practices at 1036 Sir Francis Drake Blvd, Kentfield, CA 94904. The listed phone number is (415) 456-9500.

What is Edwyne Nazarian's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Edwyne Nazarian enrolled in Medicare?

No. Edwyne Nazarian has opted out of Medicare through April 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Edwyne Nazarian was last updated on March 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.