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MAHASTI ARDEKANI-POURZAND
NPI 1497069082
Physician Assistant in San Jose, CA

Active since August 06, 2010PECOS Enrolled
1893 MONTEREY RD, SUITE 200, SAN JOSE, CA 95112(408) 288-3800 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mahasti Ardekani-pourzand NPPES

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

MAHASTI ARDEKANI-POURZAND (NPI 1497069082) is an individual physician assistant in San Jose, California, licensed in California (PA20547) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497069082
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMAHASTI ARDEKANI-POURZAND
Location Address1893 MONTEREY RD, SUITE 200San Jose, CA 95112-6136
Mailing Address16110 E 14th StSan Leandro, CA 94578-3002 · (408) 288-3800
Phone(408) 288-3800
Sole ProprietorNo
Enumeration DateAugust 6, 2010
Last NPPES UpdateMarch 11, 2022
NPPES CertifiedMarch 11, 2022
✔ NPI 1497069082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA20547
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1893 MONTEREY RD, San Jose, CA 95112
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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)

Mahasti Ardekani-pourzand is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 95112 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
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

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

RUTH ELIZABETH HURTADO PTA
Physical Therapy Assistant
1893 MONTEREY RD, SUITE #200
SAN JOSE, CA 95112
Santa Clara County (408) 288-3800

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 Mahasti Ardekani-pourzand's NPI number?

The NPI number for Mahasti Ardekani-pourzand is 1497069082. It was assigned to this individual provider in the NPPES registry on August 6, 2010.

Where is Mahasti Ardekani-pourzand located?

Mahasti Ardekani-pourzand practices at 1893 Monterey Rd Suite 200, San Jose, CA 95112. The listed phone number is (408) 288-3800.

What is Mahasti Ardekani-pourzand's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mahasti Ardekani-pourzand enrolled in Medicare?

Yes. Mahasti Ardekani-pourzand is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mahasti Ardekani-pourzand was last updated on March 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.