YAZDI PRIMARY HEALTHCARE PLLC
NPI 1629491360
Nurse Practitioner - Family in Lakewood, WA
About Yazdi Primary Healthcare Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YAZDI PRIMARY HEALTHCARE PLLC (NPI 1629491360) is a healthcare organization registered as a family in Lakewood, Washington and active in the NPI registry since January 2014. The organization lists Maryam Mostaghni Yazdi, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Yazdi Primary Healthcare Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Yazdi Primary Healthcare PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Yazdi Primary Healthcare PLLC's NPI number?
The NPI number for Yazdi Primary Healthcare PLLC is 1629491360. It was assigned to this organization in the NPPES registry on January 31, 2014.
Where is Yazdi Primary Healthcare PLLC located?
Yazdi Primary Healthcare PLLC is located at 4901 108th St SW, Lakewood, WA 98499. The listed phone number is (253) 589-6484.
What is Yazdi Primary Healthcare PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Yazdi Primary Healthcare PLLC enrolled in Medicare?
Yes. Yazdi Primary Healthcare PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Yazdi Primary Healthcare PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Yazdi Primary Healthcare PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Yazdi Primary Healthcare PLLC was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Yazdi Primary Healthcare Pllc · NPI 1629491360
Family organization in Lakewood, Washington. Organization record, active in the CMS NPPES registry since January 31, 2014.
## Identity
- **NPI:** 1629491360 (Entity type: Organization)
- **Enumerated:** January 31, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Maryam Mostaghni Yazdi, MEMBER
## Practice location
- **Address:** 4901 108TH ST SW, Lakewood, WA 98499-3724
- **Phone:** (253) 589-6484 · **Fax:** (253) 984-1079
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1629491360) · Data from the CMS NPPES public registry.