MS. LALEH REZAEI-HOMAMI PNP
NPI 1104170844
Nurse Practitioner - Pediatrics in Daly City, CA

Q: What is Laleh Rezaei-homami's NPI number?

The NPI number for Laleh Rezaei-homami is 1104170844. It was assigned to this individual provider in the NPPES registry on November 2, 2012. The provider is also known as Laleh Rezaei.

Q: What is Laleh Rezaei-homami's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since November 02, 2012PECOS Enrolled

901 CAMPUS DR STE 111, DALY CITY, CA 94015(650) 652-8720 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2020, Jan 17, 2017, Nov 1, 2016 and 1 more (4 updates tracked since 2016).

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About Ms. Laleh Rezaei-homami Pnp NPPES

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

MS. LALEH REZAEI-HOMAMI PNP (NPI 1104170844) is an individual pediatrics provider in Daly City, California, licensed in California (95002540) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Palo Alto.

NPPES Registry Identity

NPI1104170844

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMS. LALEH REZAEI-HOMAMICredential: PNP

Location Address901 CAMPUS DR STE 111Daly City, CA 94015-4930

Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (650) 652-8720

Phone(650) 652-8720

Sole ProprietorNo

Enumeration DateNovember 2, 2012

Last NPPES UpdateJune 18, 20204 updates tracked since enumeration

NPPES CertifiedJune 18, 2020

✔ NPI 1104170844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in CA · 95002540

901 CAMPUS DR STE 111, Daly City, CA 94015

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Other Names 1

Other Name (5)Laleh Rezaei

Secondary Practice Location 1

Location 1725 Welch RdPalo Alto, CA 94304-1601 · Phone (650) 497-8000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Laleh Rezaei-homami Pnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94015 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAWRENCE M OLOFF MD

Podiatrist (Foot & Ankle Surgery)