MISS MINA KAZEMI D.O.
NPI 1356770168
Obstetrics & Gynecology in Colton, CA
About Miss Mina Kazemi D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS MINA KAZEMI D.O. (NPI 1356770168) is an individual obstetrics & gynecology provider in Colton, California, licensed in California (20A12740) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
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
Miss Mina Kazemi D.o. 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 Mina Kazemi 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92324 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
COLTON, CA 92324
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 Mina Kazemi's NPI number?
The NPI number for Mina Kazemi is 1356770168. It was assigned to this individual provider in the NPPES registry on November 2, 2013.
Where is Mina Kazemi located?
Mina Kazemi practices at 400 N Pepper Ave, Colton, CA 92324. The listed phone number is (909) 580-1000.
What is Mina Kazemi's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Mina Kazemi enrolled in Medicare?
Yes. Mina Kazemi 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 Mina Kazemi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mina Kazemi 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 Mina Kazemi'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 Mina Kazemi was last updated on November 4, 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.
# Miss Mina Kazemi, D.O. · NPI 1356770168
Obstetrics & Gynecology physician in Colton, California. Individual provider, active in the CMS NPPES registry since November 2, 2013.
## Identity
- **NPI:** 1356770168 (Entity type: Individual)
- **Enumerated:** November 2, 2013
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 20A12740 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 400 N PEPPER AVE, Colton, CA 92324-1801
- **Phone:** (909) 580-1000
## 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 2011
## Record status
- **NPPES last updated:** November 4, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1356770168) · Data from the CMS NPPES public registry.