ELNAZ MALEKAHMADI
NPI 1114495710
Nurse Practitioner - Family in Newport Beach, CA

Q: What is Elnaz Malekahmadi's NPI number?

The NPI number for Elnaz Malekahmadi is 1114495710. It was assigned to this individual provider in the NPPES registry on November 13, 2018.

Q: What is Elnaz Malekahmadi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Elnaz Malekahmadi was last updated on November 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 13, 2018PECOS Enrolled

1501 SUPERIOR AVE STE 205, NEWPORT BEACH, CA 92663(949) 642-4974 Get Directions Write a Review

NPPES record last updated: November 13, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Elnaz Malekahmadi NPPES

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

ELNAZ MALEKAHMADI (NPI 1114495710) is an individual family provider in Newport Beach, California, licensed in California (95009768) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114495710

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameELNAZ MALEKAHMADI

Location Address1501 SUPERIOR AVE STE 205Newport Beach, CA 92663-3640

Mailing Address1501 Superior Ave Ste 205Newport Beach, CA 92663-3640

Phone(949) 642-4974

Sole ProprietorYes

Enumeration DateNovember 13, 2018

✔ NPI 1114495710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95009768

1501 SUPERIOR AVE STE 205, Newport Beach, CA 92663

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elnaz Malekahmadi 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 Reassignment

Medicare enrollment records show Elnaz Malekahmadi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Kidney Associates Inc.

Same address

Nephrology

1501 SUPERIOR AVE STE 205
Newport Beach, CA 92663

Reassigned Medicare billing, California enrollment
8 clinicians in this Medicare group

NPI 1770759151 (949) 642-4974

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 92663 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 6

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

BRIAN WANG D.O.

Internal Medicine (Nephrology)