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KATE DIASAMIDZE
NPI 1568932242
Clinical Neuropsychologist in Costa Mesa, CA

Active since November 26, 2018PECOS EnrolledAccepts Medicare Assignment
940 S COAST DR STE 225, COSTA MESA, CA 92626(949) 743-1457 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2026, Nov 26, 2018 (2 updates tracked since 2018).

About Kate Diasamidze NPPES

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

KATE DIASAMIDZE (NPI 1568932242) is an individual clinical neuropsychologist in Costa Mesa, California, licensed in California (36132) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1568932242
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameKATE DIASAMIDZE
Location Address940 S COAST DR STE 225Costa Mesa, CA 92626-7757
Mailing Address940 S Coast Dr Ste 225Costa Mesa, CA 92626-7757
Phone(949) 743-1457
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 26, 2018
Last NPPES UpdateApril 10, 20262 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
✔ NPI 1568932242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in CA · 36132
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
940 S COAST DR STE 225, Costa Mesa, CA 92626
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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 and accepts Medicare assignment

Kate Diasamidze 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.

PECOS PAC ID1658868070
PECOS Enrollment IDI20251017001267
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 Reassignments

2

Medicare enrollment records show Kate Diasamidze reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Julia Evans Phd Psychology PC
Same address
Clinical
940 S COAST DR STE 225
Costa Mesa, CA 92626
  • Reassigned Medicare billing, California enrollment
  • 26 clinicians in this Medicare group
NPI 1861902280 (949) 743-1457
Kate Diasamidze Psyd Psychology PC
46 mi
Mental Health (Including Community Mental Health Center)
15260 VENTURA BLVD STE 1200
Sherman Oaks, CA 91403
  • Reassigned Medicare billing, California enrollment
NPI 1124985155 (310) 717-3191

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.

GREYSON MYLES WALBRINK
Student in an Organized Health Care Education/Training Program
940 S COAST DR STE 225
COSTA MESA, CA 92626
Orange County (949) 743-1457
EMILY ZHOU
Student in an Organized Health Care Education/Training Program
940 S COAST DR STE 225
COSTA MESA, CA 92626
Orange County (949) 743-1457
MCKENZIE SALAIZ
Psychologist
940 S COAST DR STE 225
COSTA MESA, CA 92626
Orange County (626) 966-1577
KAYLA MARIE PEREZ
Student in an Organized Health Care Education/Training Program
940 S COAST DR STE 225
COSTA MESA, CA 92626
Orange County (949) 743-1457
MARY ANN ARMANIOUS
Psychologist
940 S COAST DR STE 225
COSTA MESA, CA 92626
Orange County (949) 743-1457
MS. KAYLA A QUEEN
Psychologist (Clinical Child & Adolescent)
940 S COAST DR STE 225
COSTA MESA, CA 92626
Orange County (949) 743-1457
BLAKE SONG
Student in an Organized Health Care Education/Training Program
940 S COAST DR STE 225
COSTA MESA, CA 92626
Orange County (949) 743-1457
ELIZABETH BEVERLY HILL
Psychologist (Clinical)
940 S COAST DR STE 225
COSTA MESA, CA 92626
Orange County (949) 743-1457

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 Kate Diasamidze's NPI number?

The NPI number for Kate Diasamidze is 1568932242. It was assigned to this individual provider in the NPPES registry on November 26, 2018.

Where is Kate Diasamidze located?

Kate Diasamidze practices at 940 S Coast Dr Ste 225, Costa Mesa, CA 92626. The listed phone number is (949) 743-1457.

What is Kate Diasamidze's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Kate Diasamidze enrolled in Medicare?

Yes. Kate Diasamidze 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 organizations bill Medicare for Kate Diasamidze's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kate Diasamidze reassigns Medicare benefits to 2 organizations: Julia Evans Phd Psychology PC (Costa Mesa, CA) and Kate Diasamidze Psyd Psychology PC (Sherman Oaks, CA). Each 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 Kate Diasamidze'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 Kate Diasamidze was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.