SIMIN GHAHGHAHI
NPI 1407529290
Student in an Organized Health Care Education/Training Program in San Rafael, CA
About Simin Ghahghahi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIMIN GHAHGHAHI (NPI 1407529290) is an individual student in an organized health care education/training program in San Rafael, California and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.
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 (PECOS)
Simin Ghahghahi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Simin Ghahghahi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Richmond, CA 94801
- Reassigned Medicare billing, California enrollment
- 20,078 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.
SAN RAFAEL, CA 94901
SAN RAFAEL, CA 94901
SAN RAFAEL, CA 94901
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 Simin Ghahghahi's NPI number?
The NPI number for Simin Ghahghahi is 1407529290. It was assigned to this individual provider in the NPPES registry on July 28, 2021.
Where is Simin Ghahghahi located?
Simin Ghahghahi practices at 3270 Kerner Blvd, San Rafael, CA 94901. The listed phone number is (408) 656-3838.
What is Simin Ghahghahi's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Simin Ghahghahi enrolled in Medicare?
Yes. Simin Ghahghahi is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Simin Ghahghahi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Simin Ghahghahi reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, 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 Simin Ghahghahi'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 Simin Ghahghahi was last updated on August 18, 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.
# Simin Ghahghahi · NPI 1407529290
Student in an Organized Health Care Education/Training Program provider in San Rafael, California. Individual provider, active in the CMS NPPES registry since July 28, 2021.
## Identity
- **NPI:** 1407529290 (Entity type: Individual)
- **Enumerated:** July 28, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3270 KERNER BLVD, San Rafael, CA 94901-4840
- **Phone:** (408) 656-3838
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1235226531, Richmond, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1407529290) · Data from the CMS NPPES public registry.