MIAH LOUISE BAZZANO LMFT
NPI 1407641004
Marriage & Family Therapist in Fresno, CA
About Miah Louise Bazzano Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIAH LOUISE BAZZANO LMFT (NPI 1407641004) is an individual marriage & family therapist in Fresno, California and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
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
Miah Louise Bazzano Lmft 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 Miah Bazzano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- 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.
FRESNO, CA 93726
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 Miah Bazzano's NPI number?
The NPI number for Miah Bazzano is 1407641004. It was assigned to this individual provider in the NPPES registry on April 14, 2025.
Where is Miah Bazzano located?
Miah Bazzano practices at 4785 N 1st St, Fresno, CA 93726. The listed phone number is (559) 448-5242.
What is Miah Bazzano's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Miah Bazzano enrolled in Medicare?
Yes. Miah Bazzano 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 Miah Bazzano's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miah Bazzano reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, 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 Miah Bazzano'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 Miah Bazzano was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Miah Louise Bazzano, LMFT · NPI 1407641004
Marriage & Family Therapist provider in Fresno, California. Individual provider, active in the CMS NPPES registry since April 14, 2025.
## Identity
- **NPI:** 1407641004 (Entity type: Individual)
- **Enumerated:** April 14, 2025
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 4785 N 1ST ST, Fresno, CA 93726-0500
- **Phone:** (559) 448-5242
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1407641004) · Data from the CMS NPPES public registry.