DR. ROYA RAKHSHANI M.D.
NPI 1962414003
Obstetrics & Gynecology in Costa Mesa, CA

Active since August 13, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D1060696 · Microscopy
186 E 16TH ST, STE A, COSTA MESA, CA 92627(714) 241-8814(714) 241-8861 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Roya Rakhshani M.d. NPPES

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

DR. ROYA RAKHSHANI M.D. (NPI 1962414003) is an individual obstetrics & gynecology provider in Costa Mesa, California, licensed in California (G55112) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through October 29, 2026, and is a graduate of University Of Southern California Keck School Of Medicine (1983).

NPPES Registry Identity

NPI1962414003
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. ROYA RAKHSHANICredential: M.D.
Location Address186 E 16TH ST, STE ACosta Mesa, CA 92627-7740
Mailing Address186 E 16th St, Ste ACosta Mesa, CA 92627-7740 · (714) 241-8814 · Fax (714) 241-8861
Fax(714) 241-8861
Sole ProprietorYes
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1983
Enumeration DateAugust 13, 2006
Last NPPES UpdateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
NPI 1962414003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in CA · G55112
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
186 E 16TH ST, Costa Mesa, CA 92627

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. Roya Rakhshani 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 ID8527227164
PECOS Enrollment IDI20120316000616
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D1060696

Roya Rakhshani, MD · Costa Mesa, CA
Active · expires Oct 29, 2026
CLIA Number05D1060696
Laboratory TypePhysician Office
Certificate Effective DateOctober 30, 2024
Certificate Expiration DateOctober 29, 2026
Laboratory DirectorRoya Rakhshani, MD
Laboratory Phone(714) 241-8814
Laboratory LocationRoya Rakhshani, MD186 E 16th St Ste A, Costa Mesa, CA 92627
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
113 services112 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
94 services94 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
90 services56 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
50 services50 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services33 patients
Smear for infectious agents 87210
A smear for infectious agents is a simple test done to identify harmful microorganisms in your body. A sample is taken from your body, spread thinly onto a slide, and examined under a microscope. This helps in diagnosing various infections and diseases.
28 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92627 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Roya Rakhshani's NPI number?

The NPI number for Roya Rakhshani is 1962414003. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Roya Rakhshani located?

Roya Rakhshani practices at 186 E 16th St Ste A, Costa Mesa, CA 92627. The listed phone number is (714) 241-8814.

What is Roya Rakhshani's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Roya Rakhshani enrolled in Medicare?

Yes. Roya Rakhshani 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.

Does Roya Rakhshani hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1060696) is associated with this NPI, valid through October 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Roya Rakhshani was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.