AUSTIN ARDALAN
NPI 1184251258
Student in an Organized Health Care Education/Training Program in Santa Ana, CA

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment
1900 E 4TH ST, SANTA ANA, CA 92705(818) 983-6303 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 6, 2021, Mar 26, 2020 (2 updates tracked since 2020).

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

NPI1184251258
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameAUSTIN ARDALAN
Location Address1900 E 4TH STSanta Ana, CA 92705-3910
Mailing Address1900 E 4th StSanta Ana, CA 92705-3910
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 26, 2020
Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration
NPPES CertifiedMarch 26, 2020
NPI 1184251258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1900 E 4TH ST, Santa Ana, CA 92705

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

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.

PECOS PAC ID3274915707
PECOS Enrollment IDI20230123001392
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 20

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

Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Family Medicine
1900 E 4TH ST
SANTA ANA, CA 92705
Obstetrics & Gynecology
1900 E 4TH ST
SANTA ANA, CA 92705
Psychiatry & Neurology (Psychiatry)
1900 E 4TH ST, 2ND FLOOR
SANTA ANA, CA 92705
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
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.

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.