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MINA HEYDARI PMHNP-BC
NPI 1992275762
Nurse Practitioner - Psychiatric/Mental Health in Agoura Hills, CA

Active since December 05, 2018PECOS EnrolledAccepts Medicare Assignment
5012 CHESEBRO RD STE 200, AGOURA HILLS, CA 91301(925) 282-1778(415) 296-5299 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 26, 2024, Apr 11, 2023, Jan 3, 2023 and 1 more (4 updates tracked since 2018).

About Mina Heydari Pmhnp-bc NPPES

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

MINA HEYDARI PMHNP-BC (NPI 1992275762) is an individual psychiatric/mental health provider in Agoura Hills, California, licensed in California (95023715) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1992275762
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMINA HEYDARICredential: PMHNP-BC
Location Address5012 CHESEBRO RD STE 200Agoura Hills, CA 91301-2287
Mailing Address5012 Chesebro Rd Ste 200Agoura Hills, CA 91301-2287 · (925) 282-1778 · Fax (415) 296-5299
Phone(925) 282-1778
Fax(415) 296-5299
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 5, 2018
Last NPPES UpdateJune 26, 20244 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1992275762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95023715
Also ListedRegistered NurseTaxonomy 163W00000X · License RN95147493 (CA)
5012 CHESEBRO RD STE 200, Agoura Hills, CA 91301
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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

Mina Heydari Pmhnp-bc 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 ID5890230890
PECOS Enrollment IDI20240715002215
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 Mina Heydari reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacific Coast Psychiatric Associates Inc
394 mi
Clinical
7373 N SCOTTSDALE RD STE A199
Scottsdale, AZ 85253
  • Reassigned Medicare billing, California enrollment
  • 766 clinicians in this Medicare group
NPI 1023125465 (702) 805-5360

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 91301 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 20

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

MIRANDA ALAYNE RICH LMFT
Marriage & Family Therapist
5012 CHESEBRO RD STE 200
AGOURA HILLS, CA 91301
Los Angeles County (925) 282-1778
MR. CHRISTOPHER BEN BARRAMEDA GO PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5012 CHESEBRO RD STE 200
AGOURA HILLS, CA 91301
Los Angeles County (925) 282-1778
DR. CHRISTOPHER EVERETT LEVY MD
Psychiatry & Neurology (Psychiatry)
5012 CHESEBRO RD STE 200
AGOURA HILLS, CA 91301
Los Angeles County (925) 282-1778
ALEXANDRA MORGAN WUCETICH LMFT
Marriage & Family Therapist
5012 CHESEBRO RD STE 200
AGOURA HILLS, CA 91301
Los Angeles County (925) 282-1778
MRS. ANNELISE GABRIELLE LABRENZ LMFT
Marriage & Family Therapist
5012 CHESEBRO RD STE 200
AGOURA HILLS, CA 91301
Los Angeles County (925) 282-1778
SHANNON A O'CONNOR PSYD
Psychologist (Clinical)
5012 CHESEBRO RD STE 200
AGOURA HILLS, CA 91301
Los Angeles County (925) 282-1778
MR. DAVID ALAN BONFANTI II LMFT # 43891
Marriage & Family Therapist
5012 CHESEBRO RD STE 200
AGOURA HILLS, CA 91301
Los Angeles County (818) 274-7677
SARA VAGHAR PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5012 CHESEBRO RD STE 200
AGOURA HILLS, CA 91301
Los Angeles County (925) 282-1778

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 Mina Heydari's NPI number?

The NPI number for Mina Heydari is 1992275762. It was assigned to this individual provider in the NPPES registry on December 5, 2018.

Where is Mina Heydari located?

Mina Heydari practices at 5012 Chesebro Rd Ste 200, Agoura Hills, CA 91301. The listed phone number is (925) 282-1778.

What is Mina Heydari's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mina Heydari enrolled in Medicare?

Yes. Mina Heydari 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 organization bills Medicare for Mina Heydari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mina Heydari reassigns Medicare benefits to Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). 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 Mina Heydari'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 Mina Heydari was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.