SHADI BAHADORI RAD
NPI 1689247819
Counselor in Irvine, CA
About Shadi Bahadori Rad NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHADI BAHADORI RAD (NPI 1689247819) is an individual counselor in Irvine, California and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shadi Bahadori Rad is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shadi Bahadori Rad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newport Beach, CA 92660
- Reassigned Medicare billing, California enrollment
- 2 clinicians in this Medicare group
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 Shadi Bahadori Rad's NPI number?
The NPI number for Shadi Bahadori Rad is 1689247819. It was assigned to this individual provider in the NPPES registry on July 24, 2021.
Where is Shadi Bahadori Rad located?
Shadi Bahadori Rad practices at 1115 Sullivan, Irvine, CA 92614. The listed phone number is (310) 351-9504.
What is Shadi Bahadori Rad's specialty?
The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.
Is Shadi Bahadori Rad enrolled in Medicare?
Yes. Shadi Bahadori Rad is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shadi Bahadori Rad's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shadi Bahadori Rad reassigns Medicare benefits to Marriage & Family Therapy With Asal Larry And Associates Inc (Newport Beach, 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 Shadi Bahadori Rad'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 Shadi Bahadori Rad was last updated on July 24, 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.
# Shadi Bahadori Rad · NPI 1689247819
Counselor provider in Irvine, California. Individual provider, active in the CMS NPPES registry since July 24, 2021.
## Identity
- **NPI:** 1689247819 (Entity type: Individual)
- **Enumerated:** July 24, 2021
- **Primary specialty:** Counselor · taxonomy 101Y00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1115 SULLIVAN, Irvine, CA 92614-4249
- **Phone:** (310) 351-9504
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Marriage & Family Therapy With Asal Larry And Associates Inc (NPI 1346986528, Newport Beach, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 24, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1689247819) · Data from the CMS NPPES public registry.