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PAYAM ABRISHAMI, M.D., INC.
NPI 1205076502
Specialist in Los Angeles, CA

Active since February 25, 2009
11337 HOMEDALE ST, LOS ANGELES, CA 90049(310) 694-3438 Get Directions Write a Review

NPPES record last updated: August 20, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Payam Abrishami, M.d., Inc. NPPES

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

PAYAM ABRISHAMI, M.D., INC. (NPI 1205076502) is a healthcare organization registered as a specialist in Los Angeles, California and active in the NPI registry since February 2009. The organization lists Payam Abrishami, President, as its authorized official.

NPPES Registry Identity

NPI1205076502
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePAYAM ABRISHAMI, M.D., INC.
Location Address11337 HOMEDALE STLos Angeles, CA 90049-3020
Mailing Address11337 Homedale StLos Angeles, CA 90049-3020 · (310) 694-3438
Phone(310) 694-3438
Organization SubpartNo
Authorized OfficialPayam AbrishamiPresident · (310) 694-3438
Enumeration DateFebruary 25, 2009
Last NPPES UpdateAugust 20, 2009
✔ NPI 1205076502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A86627
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
11337 HOMEDALE ST, Los Angeles, CA 90049
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Other Identifiers 1

Medicare PINCB014ACA

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Payam Abrishami, M.d., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20090818000354Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Payam Abrishami, M.D., Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Payam Abrishami, MD
Dermatology
NPI 1447288147
29525 CANWOOD ST STE 109
Agoura Hills, CA 91301
(818) 338-7097
✔ PECOS✔ Accepts Medicare18 mi

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

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 Payam Abrishami, M.D., Inc.'s NPI number?

The NPI number for Payam Abrishami, M.D., Inc. is 1205076502. It was assigned to this organization in the NPPES registry on February 25, 2009.

Where is Payam Abrishami, M.D., Inc. located?

Payam Abrishami, M.D., Inc. is located at 11337 Homedale St, Los Angeles, CA 90049. The listed phone number is (310) 694-3438.

What is Payam Abrishami, M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Payam Abrishami, M.D., Inc. enrolled in Medicare?

Yes. Payam Abrishami, M.D., Inc. is registered in the Medicare PECOS enrollment system.

When is Payam Abrishami, M.D., Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Payam Abrishami, M.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Payam Abrishami, M.D., Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Payam Abrishami, M.D., Inc. was last updated on August 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.