NAZANIN KHATAMI
NPI 1104319912
Marriage & Family Therapist in Mountain View, CA

Active since June 07, 2018PECOS EnrolledAccepts Medicare Assignment
1503 GRANT RD, MOUNTAIN VIEW, CA 94040(650) 484-1176 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2025, Sep 11, 2019 (2 updates tracked since 2019).

About Nazanin Khatami NPPES

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

NAZANIN KHATAMI (NPI 1104319912) is an individual marriage & family therapist in Mountain View, California, licensed in California (115410) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Palo Alto, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1104319912
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameNAZANIN KHATAMI
Location Address1503 GRANT RDMountain View, CA 94040-3292
Mailing Address524 Everett CtPalo Alto, CA 94301-1525 · (858) 722-2080
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 7, 2018
Last NPPES UpdateJune 3, 20252 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
NPI 1104319912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 115410
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1503 GRANT RD, Mountain View, CA 94040

Secondary Practice Location 1

Location 1616 Ramona St Ste 23Palo Alto, CA 94301-2541 · Phone (650) 720-7744

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nazanin Khatami 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.

PECOS PAC ID3870032832
PECOS Enrollment IDI20240822002059
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 3

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

Marriage & Family Therapist
1503 GRANT RD
MOUNTAIN VIEW, CA 94040
Rehabilitation Practitioner
1503 GRANT RD
MOUNTAIN VIEW, CA 94040
Chiropractor
1503 GRANT RD
MOUNTAIN VIEW, CA 94040

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 Nazanin Khatami's NPI number?

The NPI number for Nazanin Khatami is 1104319912. It was assigned to this individual provider in the NPPES registry on June 7, 2018.

Where is Nazanin Khatami located?

Nazanin Khatami practices at 1503 Grant Rd, Mountain View, CA 94040. The listed phone number is (650) 484-1176.

What is Nazanin Khatami's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Nazanin Khatami enrolled in Medicare?

Yes. Nazanin Khatami 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.

When was this NPI record last updated?

The NPPES record for Nazanin Khatami was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.