PUYA AHMADIEH-YAZDI
NPI 1801530167
Psychologist - Clinical in Cupertino, CA

Q: What is Puya Ahmadieh-yazdi's NPI number?

The NPI number for Puya Ahmadieh-yazdi is 1801530167. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Q: What is Puya Ahmadieh-yazdi's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since April 22, 2022PECOS Enrolled

21250 STEVENS CREEK BLVD, CUPERTINO, CA 95014(408) 864-5511 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 11, 2026, Apr 22, 2022 (2 updates tracked since 2022).

On this page

About Puya Ahmadieh-yazdi NPPES

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

PUYA AHMADIEH-YAZDI (NPI 1801530167) is an individual clinical provider in Cupertino, California, licensed in California (35090) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801530167

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NamePUYA AHMADIEH-YAZDI

Location Address21250 STEVENS CREEK BLVDCupertino, CA 95014-5797

Mailing Address2010 El Camino Real, Pmb 3057Santa Clara, CA 95050

Phone(408) 864-5511

Sole ProprietorYes

Enumeration DateApril 22, 2022

Last NPPES UpdateMay 11, 20262 updates tracked since enumeration

NPPES CertifiedMay 11, 2026

✔ NPI 1801530167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 35090

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

21250 STEVENS CREEK BLVD, Cupertino, CA 95014

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Puya Ahmadieh-yazdi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Puya Ahmadieh-yazdi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

2.9 mi

Internal Medicine

710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1073606299 (408) 851-1000

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 95014 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$206.04 typical visit price

range $70.37 – $206.04

Typical copayment $51.51 (range $17.59 – $51.51)

Most-billed visit code 99205

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

STEVEN WILLIAMS ATC

Specialist/Technologist (Athletic Trainer)

21250 STEVENS CREEK BLVD
CUPERTINO, CA 95014

Santa Clara County (408) 864-5686

SHANNON BRACY ATC, CSCS

Specialist/Technologist (Athletic Trainer)

21250 STEVENS CREEK BLVD
CUPERTINO, CA 95014

Santa Clara County (408) 864-8746

FLETCHER MUNKSGARD

Nurse Practitioner (Family)

21250 STEVENS CREEK BLVD, STUDENT HEALTH SERVICES
CUPERTINO, CA 95014

Santa Clara County (408) 864-8732

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 Puya Ahmadieh-yazdi's NPI number?

The NPI number for Puya Ahmadieh-yazdi is 1801530167. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Where is Puya Ahmadieh-yazdi located?

Puya Ahmadieh-yazdi practices at 21250 Stevens Creek Blvd, Cupertino, CA 95014. The listed phone number is (408) 864-5511.

What is Puya Ahmadieh-yazdi's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Puya Ahmadieh-yazdi enrolled in Medicare?

Yes. Puya Ahmadieh-yazdi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Puya Ahmadieh-yazdi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Puya Ahmadieh-yazdi reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, 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 Puya Ahmadieh-yazdi'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 Puya Ahmadieh-yazdi was last updated on May 11, 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.