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PANTEA BOZORGFAR
NPI 1609142082
Marriage & Family Therapist in Santa Clara, CA

Active since March 29, 2012PECOS EnrolledAccepts Medicare Assignment
3490 THE ALAMEDA, SANTA CLARA, CA 95050(408) 243-0222(408) 246-5752 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pantea Bozorgfar NPPES

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

PANTEA BOZORGFAR (NPI 1609142082) is an individual marriage & family therapist in Santa Clara, California, licensed in California (67562) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1609142082
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NamePANTEA BOZORGFAR
Location Address3490 THE ALAMEDASanta Clara, CA 95050-4333
Mailing Address3490 The AlamedaSanta Clara, CA 95050-4333 · (408) 243-0222 · Fax (408) 246-5752
Phone(408) 243-0222
Fax(408) 246-5752
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 29, 2012
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1609142082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 67562
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
3490 THE ALAMEDA, Santa Clara, CA 95050
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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

Pantea Bozorgfar 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 ID7719327204
PECOS Enrollment IDI20240501001545
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 Pantea Bozorgfar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
3.3 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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.

RICHARD GRANT MUIR M.A.
Counselor
3490 THE ALAMEDA
SANTA CLARA, CA 95050
Santa Clara County (408) 243-0222
LAURA DANIELA MARTINEZ
Counselor (Mental Health)
3490 THE ALAMEDA
SANTA CLARA, CA 95050
Santa Clara County (408) 243-0222
MICHELLE ALBANESE PETTENGILL ASW
Counselor (Mental Health)
3490 THE ALAMEDA
SANTA CLARA, CA 95050
Santa Clara County (408) 243-0222
DAISY C CORRAL
Counselor (Mental Health)
3490 THE ALAMEDA
SANTA CLARA, CA 95050
Santa Clara County (408) 243-0222
PAMELA ELIZABETH NELSON
Counselor (Mental Health)
3490 THE ALAMEDA
SANTA CLARA, CA 95050
Santa Clara County (408) 278-2564
JESSA GAGARIN
Counselor
3490 THE ALAMEDA
SANTA CLARA, CA 95050
Santa Clara County (408) 243-0222
KYUNGJIN KANG
Counselor
3490 THE ALAMEDA
SANTA CLARA, CA 95050
Santa Clara County (408) 243-0222
ANGELIQUE ZAVALA
Counselor
3490 THE ALAMEDA
SANTA CLARA, CA 95050
Santa Clara County (408) 243-0222

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 Pantea Bozorgfar's NPI number?

The NPI number for Pantea Bozorgfar is 1609142082. It was assigned to this individual provider in the NPPES registry on March 29, 2012.

Where is Pantea Bozorgfar located?

Pantea Bozorgfar practices at 3490 The Alameda, Santa Clara, CA 95050. The listed phone number is (408) 243-0222.

What is Pantea Bozorgfar's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Pantea Bozorgfar enrolled in Medicare?

Yes. Pantea Bozorgfar 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 organization bills Medicare for Pantea Bozorgfar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pantea Bozorgfar reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, 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 Pantea Bozorgfar'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 Pantea Bozorgfar was last updated on January 3, 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.