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TINA KHOSRAVI
NPI 1609301506
Physician Assistant - Medical in Orange, CA

Active since April 27, 2017PECOS Enrolled
705 W LA VETA AVE STE 109, ORANGE, CA 92868(714) 628-9342 Get Directions Write a Review

NPPES record last updated: November 27, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 27, 2017, Apr 27, 2017 (2 updates tracked since 2017).

About Tina Khosravi NPPES

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

TINA KHOSRAVI (NPI 1609301506) is an individual medical provider in Orange, California and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609301506
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTINA KHOSRAVI
Location Address705 W LA VETA AVE STE 109Orange, CA 92868-4447
Mailing Address705 W La Veta Ave Ste 109Orange, CA 92868-4447 · (714) 628-9342
Phone(714) 628-9342
Sole ProprietorYes
Enumeration DateApril 27, 2017
Last NPPES UpdateNovember 27, 20172 updates tracked since enumeration
✔ NPI 1609301506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
705 W LA VETA AVE STE 109, Orange, CA 92868
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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)

Tina Khosravi 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
332 services238 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
96 services87 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
61 services61 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
11 services11 patients

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 Tina Khosravi's NPI number?

The NPI number for Tina Khosravi is 1609301506. It was assigned to this individual provider in the NPPES registry on April 27, 2017.

Where is Tina Khosravi located?

Tina Khosravi practices at 705 W La Veta Ave Ste 109, Orange, CA 92868. The listed phone number is (714) 628-9342.

What is Tina Khosravi's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tina Khosravi enrolled in Medicare?

Yes. Tina Khosravi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tina Khosravi was last updated on November 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.