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ANNA GOUDARZI MD
NPI 1396326419
Student in an Organized Health Care Education/Training Program in Colton, CA

Active since April 20, 2021PECOS EnrolledAccepts Medicare Assignment
400 N PEPPER AVE # 301, COLTON, CA 92324(909) 580-3366 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 4, 2021, Apr 20, 2021 (2 updates tracked since 2021).

About Anna Goudarzi Md NPPES

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

ANNA GOUDARZI MD (NPI 1396326419) is an individual student in an organized health care education/training program in Colton, California and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1396326419
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANNA GOUDARZICredential: MD
Location Address400 N PEPPER AVE # 301Colton, CA 92324-1819
Mailing Address400 N Pepper Ave # 301Colton, CA 92324-1819 · (909) 580-3366 · Fax (909) 580-3332
Phone(909) 580-3366
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 20, 2021
Last NPPES UpdateMay 4, 20212 updates tracked since enumeration
NPPES CertifiedMay 4, 2021
✔ NPI 1396326419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
400 N PEPPER AVE # 301, Colton, CA 92324
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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

Anna Goudarzi Md 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 ID6608300090
PECOS Enrollment IDI20241107001713
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 Reassignment

Medicare enrollment records show Anna Goudarzi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sharp Rees-Stealy Medical Group, Inc
85 mi
Internal Medicine
5651 COPLEY DR STE A
San Diego, CA 92111
  • Reassigned Medicare billing, California enrollment
  • 1,233 clinicians in this Medicare group
NPI 1285616177 (858) 262-6666

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services19 patients

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 Anna Goudarzi's NPI number?

The NPI number for Anna Goudarzi is 1396326419. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Where is Anna Goudarzi located?

Anna Goudarzi practices at 400 N Pepper Ave # 301, Colton, CA 92324. The listed phone number is (909) 580-3366.

What is Anna Goudarzi's specialty?

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

Is Anna Goudarzi enrolled in Medicare?

Yes. Anna Goudarzi 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 Anna Goudarzi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Goudarzi reassigns Medicare benefits to Sharp Rees-Stealy Medical Group, Inc (San Diego, 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 Anna Goudarzi'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 Anna Goudarzi was last updated on May 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.