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YALDA FARAH HAIDREY
NPI 1790591493
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since December 06, 2024PECOS Enrolled
320 E PORTLAND ST APT 405, PHOENIX, AZ 85004(949) 207-8859 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yalda Farah Haidrey NPPES

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

YALDA FARAH HAIDREY (NPI 1790591493) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1790591493
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameYALDA FARAH HAIDREY
Location Address320 E PORTLAND ST APT 405Phoenix, AZ 85004-1882
Mailing Address320 E Portland St Apt 405Phoenix, AZ 85004-1882 · (949) 207-8859
Phone(949) 207-8859
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 6, 2024
NPPES CertifiedDecember 6, 2024
✔ NPI 1790591493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPhysician AssistantTaxonomy 363A00000X
320 E PORTLAND ST APT 405, Phoenix, AZ 85004
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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 (PECOS)

Yalda Farah Haidrey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113404955
PECOS Enrollment IDI20260122002751
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.

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 Yalda Haidrey's NPI number?

The NPI number for Yalda Haidrey is 1790591493. It was assigned to this individual provider in the NPPES registry on December 6, 2024.

Where is Yalda Haidrey located?

Yalda Haidrey practices at 320 E Portland St Apt 405, Phoenix, AZ 85004. The listed phone number is (949) 207-8859.

What is Yalda Haidrey's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Yalda Haidrey enrolled in Medicare?

Yes. Yalda Haidrey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yalda Haidrey was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.