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HENNA EBRAHIMI
NPI 1578359741
Physician Assistant in Fremont, CA

Active since April 15, 2025PECOS EnrolledAccepts Medicare Assignment
40910 FREMONT BLVD, FREMONT, CA 94538(925) 276-2208 Get Directions Write a Review

NPPES record last updated: September 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Henna Ebrahimi NPPES

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

HENNA EBRAHIMI (NPI 1578359741) is an individual physician assistant in Fremont, California and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1578359741
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHENNA EBRAHIMI
Location Address40910 FREMONT BLVDFremont, CA 94538-4375
Mailing Address1000 Mariposa Cir Unit 6Clayton, CA 94517-9801
Phone(925) 276-2208
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 15, 2025
Last NPPES UpdateSeptember 7, 2025
NPPES CertifiedSeptember 7, 2025
✔ NPI 1578359741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
40910 FREMONT BLVD, Fremont, CA 94538
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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 and accepts Medicare assignment

Henna Ebrahimi 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 ID2860995990
PECOS Enrollment IDI20250912003250
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 94538 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 20

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

JYOTI GUPTA
Internal Medicine (Infectious Disease)
40910 FREMONT BLVD
FREMONT, CA 94538
Alameda County (510) 252-6862
MRS. MAURINE BONKIYOY FORCHE NP
Nurse Practitioner (Family)
40910 FREMONT BLVD
FREMONT, CA 94538
Alameda County (510) 770-8040
DR. ZHENGXI CHEN
Dentist (General Practice)
40910 FREMONT BLVD
FREMONT, CA 94538
Alameda County (510) 770-8040
MEAGHAN SANDRA LOUISE LAUF SKEEN RN, NP
Nurse Practitioner (Primary Care)
40910 FREMONT BLVD
FREMONT, CA 94538
Alameda County (510) 770-8040
JOE WANG DMD
Dentist (General Practice)
40910 FREMONT BLVD
FREMONT, CA 94538
Alameda County (510) 252-6803
DR. SATYASREE S. KONDA M.D.
Internal Medicine
40910 FREMONT BLVD
FREMONT, CA 94538
Alameda County (510) 770-8040
REEMA MENEZES MD
Family Medicine
40910 FREMONT BLVD
FREMONT, CA 94538
Alameda County (510) 770-8040
MICHELLE JOSETTE EDWARDS PA
Physician Assistant
40910 FREMONT BLVD
FREMONT, CA 94538
Alameda County (510) 252-6862

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 Henna Ebrahimi's NPI number?

The NPI number for Henna Ebrahimi is 1578359741. It was assigned to this individual provider in the NPPES registry on April 15, 2025.

Where is Henna Ebrahimi located?

Henna Ebrahimi practices at 40910 Fremont Blvd, Fremont, CA 94538. The listed phone number is (925) 276-2208.

What is Henna Ebrahimi's specialty?

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

Is Henna Ebrahimi enrolled in Medicare?

Yes. Henna Ebrahimi 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.

When was this NPI record last updated?

The NPPES record for Henna Ebrahimi was last updated on September 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.