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

Q: 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.

Q: 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.

Q: 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.

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: August 09, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.