AUSTIN ARDALAN
NPI 1184251258
Student in an Organized Health Care Education/Training Program in Santa Ana, CA
About Austin Ardalan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUSTIN ARDALAN (NPI 1184251258) is an individual student in an organized health care education/training program in Santa Ana, California and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Austin Ardalan 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.
Medicare Billing Reassignment
Medicare enrollment records show Austin Ardalan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Anaheim, CA 92807
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
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.
SANTA ANA, CA 92705
SANTA ANA, CA 92705
SANTA ANA, CA 92705
SANTA ANA, CA 92705
SANTA ANA, CA 92705
SANTA ANA, CA 92705
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 Austin Ardalan's NPI number?
The NPI number for Austin Ardalan is 1184251258. It was assigned to this individual provider in the NPPES registry on March 26, 2020.
Where is Austin Ardalan located?
Austin Ardalan practices at 1900 E 4th St, Santa Ana, CA 92705. The listed phone number is (818) 983-6303.
What is Austin Ardalan's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Austin Ardalan enrolled in Medicare?
Yes. Austin Ardalan 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.
Which organization bills Medicare for Austin Ardalan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Austin Ardalan reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, 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 Austin Ardalan'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 Austin Ardalan was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Austin Ardalan · NPI 1184251258
Student in an Organized Health Care Education/Training Program provider in Santa Ana, California. Individual provider, active in the CMS NPPES registry since March 26, 2020.
## Identity
- **NPI:** 1184251258 (Entity type: Individual)
- **Enumerated:** March 26, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1900 E 4TH ST, Santa Ana, CA 92705-3910
- **Phone:** (818) 983-6303
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1952333460, Anaheim, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1184251258) · Data from the CMS NPPES public registry.