AMARYLLIS AZADEHBAHARI MALEKNIAZI
NPI 1730954520
Nurse Practitioner - Family in Van Nuys, CA
About Amaryllis Azadehbahari Malekniazi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMARYLLIS AZADEHBAHARI MALEKNIAZI (NPI 1730954520) is an individual family provider in Van Nuys, California, licensed in California (F10230133) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
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 and accepts Medicare assignment
Amaryllis Azadehbahari Malekniazi 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.
Medicare Billing Reassignments
2Medicare enrollment records show Amaryllis Malekniazi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Encino, CA 91316
- Reassigned Medicare billing, California enrollment
- 26 clinicians in this Medicare group
Encino, CA 91316
- Reassigned Medicare billing, California enrollment
- 11 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VAN NUYS, CA 91405
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 Amaryllis Malekniazi's NPI number?
The NPI number for Amaryllis Malekniazi is 1730954520. It was assigned to this individual provider in the NPPES registry on November 21, 2023.
Where is Amaryllis Malekniazi located?
Amaryllis Malekniazi practices at 7220 Woodman Ave, Van Nuys, CA 91405. The listed phone number is (818) 423-5065.
What is Amaryllis Malekniazi's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amaryllis Malekniazi enrolled in Medicare?
Yes. Amaryllis Malekniazi 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.
Which organizations bill Medicare for Amaryllis Malekniazi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amaryllis Malekniazi reassigns Medicare benefits to 2 organizations: Infinity Mobile Medical Group (Encino, CA) and Infinity Wound Care Specialist (Encino, CA). Each 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 Amaryllis Malekniazi'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 Amaryllis Malekniazi was last updated on November 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Amaryllis Azadehbahari Malekniazi · NPI 1730954520
Family physician in Van Nuys, California. Individual provider, active in the CMS NPPES registry since November 21, 2023.
## Identity
- **NPI:** 1730954520 (Entity type: Individual)
- **Enumerated:** November 21, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F10230133 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 7220 WOODMAN AVE, Van Nuys, CA 91405-2648
- **Phone:** (818) 423-5065
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Infinity Mobile Medical Group (NPI 1912727835, Encino, CA); Infinity Wound Care Specialist (NPI 1275361941, Encino, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** November 24, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1730954520) · Data from the CMS NPPES public registry.