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

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: November 01, 2026.

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

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Laleh Rezaei-homami reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of San Mateo
1.8 mi
Multi-Specialty
380 90TH ST
Daly City, CA 94015
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1831268580 (California)
  • 597 clinicians in this Medicare group
NPI 1255400909 (650) 573-2222
Sutter Bay Medical Foundation
22 mi
Multi-Specialty
12 CAMINO ENCINAS
Orinda, CA 94563
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
NPI 1366898538 (510) 204-8180

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
901 CAMPUS DR STE 111
DALY CITY, CA 94015
San Mateo County (650) 652-8720
GRACE LISING HUANG
Internal Medicine
901 CAMPUS DR STE 111
DALY CITY, CA 94015
San Mateo County (650) 652-8500
TIMMY CHIHOO LEE MD
Pediatrics
901 CAMPUS DR STE 111
DALY CITY, CA 94015
San Mateo County (650) 652-8720
MISS CHRISTINA MARGARET WALTER P.A.
Physician Assistant
901 CAMPUS DR STE 111
DALY CITY, CA 94015
San Mateo County (650) 652-8500
JACLYN HENNING NP
Family Medicine
901 CAMPUS DR STE 111
DALY CITY, CA 94015
San Mateo County (650) 575-7351
ELAINE DIANA LEE MD, MPH
Family Medicine
901 CAMPUS DR STE 111
DALY CITY, CA 94015
San Mateo County (650) 652-8500
JESUS ROLAND M. GATPOLINTAN M.D.
Internal Medicine
901 CAMPUS DR STE 111
DALY CITY, CA 94015
San Mateo County (650) 652-8500
DANIEL HWANG M.D.
Internal Medicine
901 CAMPUS DR STE 111
DALY CITY, CA 94015
San Mateo County (650) 652-8500

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 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.

Where is Laleh Rezaei-homami located?

Laleh Rezaei-homami practices at 901 Campus Dr Ste 111, Daly City, CA 94015. The listed phone number is (650) 652-8720.

What is Laleh Rezaei-homami's specialty?

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

Is Laleh Rezaei-homami enrolled in Medicare?

Yes. Laleh Rezaei-homami is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Laleh Rezaei-homami's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laleh Rezaei-homami reassigns Medicare benefits to 2 organizations: County Of San Mateo (Daly City, CA) and Sutter Bay Medical Foundation (Orinda, 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 Laleh Rezaei-homami'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 Laleh Rezaei-homami was last updated on June 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.