| Mina Heydari, PMHNP-BC | |
|
5012 Chesebro Rd Ste 200, Agoura Hills, CA 91301-2287 | |
| (925) 282-1778 | |
| (415) 296-5299 |
| Full Name | Mina Heydari |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 5012 Chesebro Rd Ste 200, Agoura Hills, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992275762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95023715 (California) | Primary |
| 163W00000X | Registered Nurse | RN95147493 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pacific Coast Psychiatric Associates Inc | 2567469174 | 637 |
| Entity Name | Pacific Coast Psychiatric Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023125465 PECOS PAC ID: 2567469174 Enrollment ID: O20061024000383 |
| Mailing Address | Practice Location Address |
|---|---|
| Mina Heydari, PMHNP-BC 5012 Chesebro Rd Ste 200, Agoura Hills, CA 91301-2287 Ph: (925) 282-1778 | Mina Heydari, PMHNP-BC 5012 Chesebro Rd Ste 200, Agoura Hills, CA 91301-2287 Ph: (925) 282-1778 |
Mr. Christopher Ben Barrameda Go, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5012 Chesebro Rd Ste 200, Agoura Hills, CA 91301 Phone: 925-282-1778 |
Ovsanna Arakelyan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29219 Canwood St, Agoura Hills, CA 91301 Phone: 818-469-0066 |
Gagandeep Kaur Gill, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29229 Canwood St Ste 101, Agoura Hills, CA 91301 Phone: 818-336-1295 Fax: 818-337-1285 |
Collette Lee King, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29525 Canwood St, Suite 300, Agoura Hills, CA 91301 Phone: 818-706-2477 Fax: 818-706-2368 |
Dawn Adrian Soto, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29039 Saddlebrook Dr, Agoura Hills, CA 91301 Phone: 631-522-2320 |
Jennifer Rusnanto Ng, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29525 Canwood St Ste 200, Agoura Hills, CA 91301 Phone: 818-699-6553 |
Young Tae Lee, PNHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 30423 Canwood St Ste 123, Agoura Hills, CA 91301 Phone: 818-385-1219 Fax: 818-385-1600 |