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AFSOON ADL GOSTAR
NPI 1699487082
Physician Assistant - Medical in Van Nuys, CA

Active since December 19, 2022PECOS Enrolled
14550 HAYNES ST STE 204, VAN NUYS, CA 91411(818) 672-9863 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Afsoon Adl Gostar NPPES

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

AFSOON ADL GOSTAR (NPI 1699487082) is an individual medical provider in Van Nuys, California and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Woodland Hills, and is a graduate of University Of Southern California Keck School Of Medicine (2025).

NPPES Registry Identity

NPI1699487082
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAFSOON ADL GOSTAR
Location Address14550 HAYNES ST STE 204Van Nuys, CA 91411-4112
Mailing Address6606 Variel Ave Apt 501Canoga Park, CA 91303-3867 · (424) 537-6769
Phone(818) 672-9863
Sole ProprietorYes
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2025
Enumeration DateDecember 19, 2022
Last NPPES UpdateFebruary 20, 2026
NPPES CertifiedFebruary 20, 2026
✔ NPI 1699487082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedPhysician AssistantTaxonomy 363A00000X
14550 HAYNES ST STE 204, Van Nuys, CA 91411
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Secondary Practice Location 1

Location 120011 Ventura Blvd Ste 1002Woodland Hills, CA 91364-2573 · Phone (818) 528-5525

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Afsoon Adl Gostar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961919741
PECOS Enrollment IDI20250728000596
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHAHLA GHODSI MOMENI DANAEI DDS
Dentist (General Practice)
14550 HAYNES ST STE 204
VAN NUYS, CA 91411
Los Angeles County (818) 650-6700

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 Afsoon Adl Gostar's NPI number?

The NPI number for Afsoon Adl Gostar is 1699487082. It was assigned to this individual provider in the NPPES registry on December 19, 2022.

Where is Afsoon Adl Gostar located?

Afsoon Adl Gostar practices at 14550 Haynes St Ste 204, Van Nuys, CA 91411. The listed phone number is (818) 672-9863.

What is Afsoon Adl Gostar's specialty?

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

Is Afsoon Adl Gostar enrolled in Medicare?

Yes. Afsoon Adl Gostar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Afsoon Adl Gostar was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.