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KRISTINA AGBAYANI PH.D.
NPI 1174974125
Clinical Neuropsychologist in Palo Alto, CA

Active since June 30, 2016PECOS Enrolled
3801 MIRANDA AVE, PSC 117, PALO ALTO, CA 94304(650) 493-5000 Get Directions Write a Review

NPPES record last updated: March 8, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kristina Agbayani Ph.d. NPPES

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

KRISTINA AGBAYANI PH.D. (NPI 1174974125) is an individual clinical neuropsychologist in Palo Alto, California, licensed in California (PSY28060) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174974125
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameKRISTINA AGBAYANICredential: PH.D.
Location Address3801 MIRANDA AVE, PSC 117Palo Alto, CA 94304-1207
Mailing Address3801 Miranda Ave, Psc 117Palo Alto, CA 94304-1207 · (650) 493-5000
Phone(650) 493-5000
Sole ProprietorNo
Enumeration DateJune 30, 2016
Last NPPES UpdateMarch 8, 2017
✔ NPI 1174974125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in CA · PSY28060
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
3801 MIRANDA AVE, Palo Alto, CA 94304
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristina Agbayani Ph.d. 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 Kristina Agbayani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Silicon Valley Assessment
15 mi
Clinical Neuropsychologist
15814 WINCHESTER BLVD STE 105
Los Gatos, CA 95030
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1184142663 (408) 827-5699

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

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.

DR. LAURA ELIZABETH STODDARD PHARMD
Pharmacist
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
DR. KEVIN MCKENNA PH.D.
Psychologist (Clinical)
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
VALLANCE WA-LUN AU-YEUNG PHARMD
Pharmacist
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
ARLENE VICENTE-VELASCO
Registered Nurse
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
MAHNOOSH KUHBANANI SEIFODDINI M.D.
Internal Medicine
3801 MIRANDA AVE, VA PALO ALTO HEALTH CARE SYSTEM (111STC)
PALO ALTO, CA 94304
Santa Clara County (209) 946-3400
DR. EDWARD LEE COHEN MD
Obstetrics & Gynecology
3801 MIRANDA AVE, #112
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
MRS. JEAN JONES GURGA OTR/L
Occupational Therapist
3801 MIRANDA AVE, PMRS (117)
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
MS. ELLEN WHITE FORD LCSW, MSW, MPH
Social Worker (Clinical)
3801 MIRANDA AVE, VAPAHCS SOCIAL WORK SERVICE, 122 PA
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000

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 Kristina Agbayani's NPI number?

The NPI number for Kristina Agbayani is 1174974125. It was assigned to this individual provider in the NPPES registry on June 30, 2016.

Where is Kristina Agbayani located?

Kristina Agbayani practices at 3801 Miranda Ave Psc 117, Palo Alto, CA 94304. The listed phone number is (650) 493-5000.

What is Kristina Agbayani's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Kristina Agbayani enrolled in Medicare?

Yes. Kristina Agbayani is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristina Agbayani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Agbayani reassigns Medicare benefits to Silicon Valley Assessment (Los Gatos, CA). The 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 Kristina Agbayani'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 Kristina Agbayani was last updated on March 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.