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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NATASHA GHOFRANI
NPI 1639910706
Physician Assistant in San Diego, CA

Active since June 03, 2024PECOS Enrolled
4520 EXECUTIVE DR STE 325, SAN DIEGO, CA 92121(858) 346-2065 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 28, 2026, May 13, 2026, Jun 3, 2024 (3 updates tracked since 2024).

About Natasha Ghofrani NPPES

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

NATASHA GHOFRANI (NPI 1639910706) is an individual physician assistant in San Diego, California, licensed in California (PA67674) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1639910706
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNATASHA GHOFRANI
Location Address4520 EXECUTIVE DR STE 325San Diego, CA 92121-3087
Mailing Address4520 Executive Dr Ste 325San Diego, CA 92121-3087
Phone(858) 346-2065
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 3, 2024
Last NPPES UpdateOctober 28, 20263 updates tracked since enumeration
NPPES CertifiedOctober 28, 2026
✔ NPI 1639910706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA67674
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.
4520 EXECUTIVE DR STE 325, San Diego, CA 92121
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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

Natasha Ghofrani 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 ID1153891486
PECOS Enrollment IDI20260528001867
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 92121 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

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 Natasha Ghofrani's NPI number?

The NPI number for Natasha Ghofrani is 1639910706. It was assigned to this individual provider in the NPPES registry on June 3, 2024.

Where is Natasha Ghofrani located?

Natasha Ghofrani practices at 4520 Executive Dr Ste 325, San Diego, CA 92121. The listed phone number is (858) 346-2065.

What is Natasha Ghofrani's specialty?

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

Is Natasha Ghofrani enrolled in Medicare?

Yes. Natasha Ghofrani 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 Natasha Ghofrani was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.