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KAYVON PAKDAMANIAN PA
NPI 1245947308
Physician Assistant - Medical in Corona, CA

Active since October 28, 2022PECOS Enrolled
2209 SAGELEAF CIR, CORONA, CA 92882(714) 391-2399 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kayvon Pakdamanian Pa NPPES

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

KAYVON PAKDAMANIAN PA (NPI 1245947308) is an individual medical provider in Corona, California and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245947308
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKAYVON PAKDAMANIANCredential: PA
Location Address2209 SAGELEAF CIRCorona, CA 92882-2318
Mailing Address2209 Sageleaf CirCorona, CA 92882-2318
Phone(714) 391-2399
Sole ProprietorYes
Enumeration DateOctober 28, 2022
NPPES CertifiedOctober 28, 2022
✔ NPI 1245947308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
2209 SAGELEAF CIR, Corona, CA 92882
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kayvon Pakdamanian Pa 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.

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 Kayvon Pakdamanian's NPI number?

The NPI number for Kayvon Pakdamanian is 1245947308. It was assigned to this individual provider in the NPPES registry on October 28, 2022.

Where is Kayvon Pakdamanian located?

Kayvon Pakdamanian practices at 2209 Sageleaf Cir, Corona, CA 92882. The listed phone number is (714) 391-2399.

What is Kayvon Pakdamanian's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kayvon Pakdamanian enrolled in Medicare?

Yes. Kayvon Pakdamanian is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kayvon Pakdamanian was last updated on October 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.