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DR. DAISY OBETSANOV PH.D.
NPI 1982789947
Psychologist - Clinical in Long Beach, CA

Active since October 26, 2006PECOS EnrolledAccepts Medicare Assignment
PO BOX 7683, LONG BEACH, CA 90807(103) 217-7312 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 24, 2025, Jun 24, 2024, Sep 30, 2016 and 1 more (4 updates tracked since 2016).

About Dr. Daisy Obetsanov Ph.d. NPPES

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

DR. DAISY OBETSANOV PH.D. (NPI 1982789947) is an individual clinical provider in Long Beach, California, licensed in California (PSY31418) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1982789947
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DAISY OBETSANOVCredential: PH.D.
Location AddressPO BOX 7683Long Beach, CA 90807-0683
Mailing AddressPo Box 7683Long Beach, CA 90807-0683 · (310) 217-7312
Phone(103) 217-7312
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 26, 2006
Last NPPES UpdateNovember 24, 20254 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1982789947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY31418
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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License LCS23381 (CA)
PO BOX 7683, Long Beach, CA 90807
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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

Dr. Daisy Obetsanov Ph.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 ID9032577515
PECOS Enrollment IDI20230614003721
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 Reassignments

4

Medicare enrollment records show Daisy Obetsanov reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Los Angeles County Department Of Mental Health
1.9 mi
Mental Health (Including Community Mental Health Center)
1333 CHESTNUT AVE
Long Beach, CA 90813
  • Reassigned Medicare billing, California enrollment
  • 533 clinicians in this Medicare group
NPI 1134424252 (213) 738-3111
Shine Medical Of Ca PC
322 mi
Psychiatry
325 S 1ST ST STE 200
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 45 clinicians in this Medicare group
NPI 1942935473 (888) 380-2028
Grow Healthcare Group PC
323 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385
Sud Specialty Group - Ca
329 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

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 90807 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Daisy Obetsanov's NPI number?

The NPI number for Daisy Obetsanov is 1982789947. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Daisy Obetsanov located?

Daisy Obetsanov practices at PO Box 7683, Long Beach, CA 90807. The listed phone number is (103) 217-7312.

What is Daisy Obetsanov's specialty?

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

Is Daisy Obetsanov enrolled in Medicare?

Yes. Daisy Obetsanov 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 Daisy Obetsanov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daisy Obetsanov reassigns Medicare benefits to 4 organizations: Los Angeles County Department Of Mental Health (Long Beach, CA), Shine Medical Of Ca PC (San Jose, CA), Grow Healthcare Group PC (San Jose, CA) and Sud Specialty Group - Ca (Santa Clara, 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 Daisy Obetsanov'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 Daisy Obetsanov was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.