DR. PATRICK PEZESHKIAN M.D.
NPI 1922242585
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since April 27, 2009PECOS EnrolledAccepts Medicare Assignment
2101 S BEVERLY GLEN BLVD, SUITE 202, LOS ANGELES, CA 90025(818) 294-0125 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Patrick Pezeshkian M.d. NPPES

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

DR. PATRICK PEZESHKIAN M.D. (NPI 1922242585) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2007).

NPPES Registry Identity

NPI1922242585
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. PATRICK PEZESHKIANCredential: M.D.
Location Address2101 S BEVERLY GLEN BLVD, SUITE 202Los Angeles, CA 90025-6075
Mailing Address2101 S Beverly Glen Blvd, Suite 202Los Angeles, CA 90025-6075 · (818) 294-0125
Sole ProprietorYes
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2007
Enumeration DateApril 27, 2009
Last NPPES UpdateFebruary 11, 2022
NPI 1922242585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
2101 S BEVERLY GLEN BLVD, Los Angeles, CA 90025

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Patrick Pezeshkian M.d. 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.

PECOS PAC ID7719106962
PECOS Enrollment IDI20140919001711
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 Patrick Pezeshkian's NPI number?

The NPI number for Patrick Pezeshkian is 1922242585. It was assigned to this individual provider in the NPPES registry on April 27, 2009.

Where is Patrick Pezeshkian located?

Patrick Pezeshkian practices at 2101 S Beverly Glen Blvd Suite 202, Los Angeles, CA 90025. The listed phone number is (818) 294-0125.

What is Patrick Pezeshkian's specialty?

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

Is Patrick Pezeshkian enrolled in Medicare?

Yes. Patrick Pezeshkian 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.

When was this NPI record last updated?

The NPPES record for Patrick Pezeshkian was last updated on February 11, 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.