KIMYA BEHROUZIAN
NPI 1255847414
Student in an Organized Health Care Education/Training Program in Redwood City, CA

Active since December 22, 2017PECOS EnrolledAccepts Medicare Assignment
1400 VETERANS BLVD, REDWOOD CITY, CA 94063(650) 299-4736 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 4, 2026, Apr 6, 2023, Apr 18, 2022 and 1 more (4 updates tracked since 2017).

About Kimya Behrouzian NPPES

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

KIMYA BEHROUZIAN (NPI 1255847414) is an individual student in an organized health care education/training program in Redwood City, California and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rancho Mirage, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255847414
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKIMYA BEHROUZIAN
Location Address1400 VETERANS BLVDRedwood City, CA 94063-2612
Mailing Address1400 Veterans BlvdRedwood City, CA 94063-2612 · (650) 299-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 22, 2017
Last NPPES UpdateApril 6, 20234 updates tracked since enumeration
NPPES CertifiedApril 6, 2023
✔ NPI 1255847414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedPsychologistTaxonomy 103T00000X · License 33393 (CA)
1400 VETERANS BLVD, Redwood City, CA 94063

Secondary Practice Location 1

Location 136101 Bob Hope Dr Ste ARancho Mirage, CA 92270-2001 · Phone (760) 321-1315 · Fax (760) 321-1094

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

Kimya Behrouzian 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 ID7810367711
PECOS Enrollment IDI20230111001407
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 Reassignments

2

Medicare enrollment records show Kimya Behrouzian reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
Pain Medicine
36101 BOB HOPE DR STE A
Rancho Mirage, CA 92270
  • Reassigned Medicare billing, California enrollment
  • 75 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.

Psychologist
1400 VETERANS BLVD
REDWOOD CITY, CA 94063
Physical Therapist
1400 VETERANS BLVD
REDWOOD CITY, CA 94063
Psychologist (Clinical)
1400 VETERANS BLVD
REDWOOD CITY, CA 94063
Physical Therapist
1400 VETERANS BLVD
REDWOOD CITY, CA 94063
Social Worker (Clinical)
1400 VETERANS BLVD, 3RD FLOOR
REDWOOD CITY, CA 94063
Counselor (Mental Health)
1400 VETERANS BLVD
REDWOOD CITY, CA 94063
Physical Therapist
1400 VETERANS BLVD, 2ND FLOOR
REDWOOD CITY, CA 94063
Physician Assistant
1400 VETERANS BLVD
REDWOOD CITY, CA 94063

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 Kimya Behrouzian's NPI number?

The NPI number for Kimya Behrouzian is 1255847414. It was assigned to this individual provider in the NPPES registry on December 22, 2017.

Where is Kimya Behrouzian located?

Kimya Behrouzian practices at 1400 Veterans Blvd, Redwood City, CA 94063. The listed phone number is (650) 299-4736.

What is Kimya Behrouzian's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kimya Behrouzian enrolled in Medicare?

Yes. Kimya Behrouzian 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 organizations bill Medicare for Kimya Behrouzian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimya Behrouzian reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Redwood City, CA) and Tobias Moeller-Bertram MD Corporation (Rancho Mirage, CA). Each 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 Kimya Behrouzian'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 Kimya Behrouzian was last updated on April 6, 2023. 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.