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DR. KAMI ADIBI M.D.
NPI 1548211436
Family Medicine in Los Angeles, CA

Active since May 15, 2006PECOS Enrolled
1414 S GRAND AVE STE 380, LOS ANGELES, CA 90015(310) 717-5777(818) 578-8865 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 5, 2023, Nov 23, 2021 (2 updates tracked since 2021).

About Dr. Kami Adibi M.d. NPPES

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

DR. KAMI ADIBI M.D. (NPI 1548211436) is an individual family medicine provider in Los Angeles, California, licensed in California (A64723) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548211436
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KAMI ADIBICredential: M.D.
Location Address1414 S GRAND AVE STE 380Los Angeles, CA 90015-3072
Mailing Address1414 S Grand Ave Ste 380Los Angeles, CA 90015-3072 · (310) 717-5777
Phone(310) 717-5777
Fax(818) 578-8865
Sole ProprietorYes
Enumeration DateMay 15, 2006
Last NPPES UpdateFebruary 26, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2024
✔ NPI 1548211436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A64723
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License A64723 (CA)
1414 S GRAND AVE STE 380, Los Angeles, CA 90015
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kami Adibi M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Kami Adibi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
4.5 mi
Health Maintenance Organization
4760 W SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1134151657 (323) 783-4011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90015 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 11

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

NATALIE CHANEL HOUSER PA-C
Physician Assistant
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 743-9000
MARTHA MATEO LCSW
Social Worker (Clinical)
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 743-9000
MS. ELSA MARIA HARTWICK M.D.
Internal Medicine
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 222-1300
ELIZABETH LOPEZ ESCOBAR
Physician Assistant
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 222-1300
NOLASCO CRISTOBAL M.D
Pediatrics
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 743-9000
ELIZABETH SOOBIN LEE
Physician Assistant
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 745-6047
DR. RENE JOUVANNI TRABANINO M.D.
Family Medicine
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 222-1300
DR. GAILA MAUREEN KENNEALLY DO
Family Medicine
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 743-9000

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 Kami Adibi's NPI number?

The NPI number for Kami Adibi is 1548211436. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Kami Adibi located?

Kami Adibi practices at 1414 S Grand Ave Ste 380, Los Angeles, CA 90015. The listed phone number is (310) 717-5777.

What is Kami Adibi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kami Adibi enrolled in Medicare?

Yes. Kami Adibi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kami Adibi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kami Adibi reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, 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 Kami Adibi'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 Kami Adibi was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.