Syamak Hakimi Tabrizi, LCSW, CATC IV is a medicare enrolled "Social Worker - Clinical" provider in San Diego, California. His current practice location is
5101 Market St Ste 2300, San Diego, California. You can reach out to his office (for appointments etc.) via phone at
(858) 351-6000.
Syamak Hakimi Tabrizi is licensed to practice in California (license number LCSW121734) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851858708.
Healthcare Provider's Profile
| Full Name | Syamak Hakimi Tabrizi |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 5101 Market St Ste 2300, San Diego, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1851858708
- Provider Enumeration Date: 02/27/2019
- Last Update Date: 12/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931645983
- Enrollment ID: I20240725003677
Medical Identifiers
Medical identifiers for Syamak Hakimi Tabrizi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851858708 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 199584 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | 96334 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW121734 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Syamak Hakimi Tabrizi allows following entities to bill medicare on his behalf.
| Entity Name | Centro De Salud De La Comunidad De San Ysidro, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124782685
PECOS PAC ID: 6901709435
Enrollment ID: O20040130000711 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Syamak Hakimi Tabrizi is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Syamak Hakimi Tabrizi, LCSW, CATC IV
9712 Saint George St,
Spring Valley, CA 91977-5248
Ph: (760) 990-3747 | Syamak Hakimi Tabrizi, LCSW, CATC IV
5101 Market St Ste 2300,
San Diego, CA 92114-2225
Ph: (858) 351-6000 |
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