PAVEL KSENDZ PMHNP
NPI 1790406882
Nurse Practitioner - Psychiatric/Mental Health in Santa Clarita, CA
About Pavel Ksendz Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAVEL KSENDZ PMHNP (NPI 1790406882) is an individual psychiatric/mental health provider in Santa Clarita, California, licensed in California (95021622) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
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
Pavel Ksendz Pmhnp 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
3Medicare enrollment records show Pavel Ksendz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- 16 clinicians in this Medicare group
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- 36 clinicians in this Medicare group
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- 31 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91350 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA CLARITA, CA 91350
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 Pavel Ksendz's NPI number?
The NPI number for Pavel Ksendz is 1790406882. It was assigned to this individual provider in the NPPES registry on September 7, 2022.
Where is Pavel Ksendz located?
Pavel Ksendz practices at 21700 Golden Triangle Rd Ste 104A, Santa Clarita, CA 91350. The listed phone number is (310) 849-4541.
What is Pavel Ksendz's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Pavel Ksendz enrolled in Medicare?
Yes. Pavel Ksendz 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 Pavel Ksendz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pavel Ksendz reassigns Medicare benefits to 3 organizations: Amygdala Medical Corporation (Orange, CA), Brainpower Wellness Institute Nursing Corporation (Orange, CA) and Oc Progressive Recovery Inc (Orange, 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 Pavel Ksendz'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 Pavel Ksendz was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Pavel Ksendz, PMHNP · NPI 1790406882
Psychiatric/Mental Health physician in Santa Clarita, California. Individual provider, active in the CMS NPPES registry since September 7, 2022.
## Identity
- **NPI:** 1790406882 (Entity type: Individual)
- **Enumerated:** September 7, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95021622 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 21700 GOLDEN TRIANGLE RD STE 104A, Santa Clarita, CA 91350-2616
- **Phone:** (310) 849-4541
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Amygdala Medical Corporation (NPI 1386324267, Orange, CA); Brainpower Wellness Institute Nursing Corporation (NPI 1528573615, Orange, CA); Oc Progressive Recovery Inc (NPI 1003340217, Orange, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1790406882) · Data from the CMS NPPES public registry.