EMANOUEL KHODADADI MSN-FNP-BC
NPI 1477347193
Nurse Practitioner - Family in Glendale, CA

Q: What is Emanouel Khodadadi's NPI number?

The NPI number for Emanouel Khodadadi is 1477347193. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Q: What is Emanouel Khodadadi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since April 07, 2025PECOS Enrolled

1818 VERDUGO BLVD STE 401, GLENDALE, CA 91208(818) 790-1145(818) 790-6387 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Emanouel Khodadadi Msn-fnp-bc NPPES

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

EMANOUEL KHODADADI MSN-FNP-BC (NPI 1477347193) is an individual family provider in Glendale, California, licensed in California (NP95032782) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2024).

NPPES Registry Identity

NPI1477347193

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameEMANOUEL KHODADADICredential: MSN-FNP-BC

Location Address1818 VERDUGO BLVD STE 401Glendale, CA 91208-1421

Mailing Address1818 Verdugo Blvd Ste 401Glendale, CA 91208-1421 · (818) 790-1145 · Fax (818) 790-6387

Phone(818) 790-1145

Fax(818) 790-6387

Sole ProprietorYes

Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2024

Enumeration DateApril 7, 2025

NPPES CertifiedApril 7, 2025

✔ NPI 1477347193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · NP95032782

1818 VERDUGO BLVD STE 401, Glendale, CA 91208

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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 (PECOS)

Emanouel Khodadadi Msn-fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123505336

PECOS Enrollment IDI20260120001232

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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