Puya Ahmadieh-yazdi, in Cupertino, CA - Medicare Psychologist Provider

Puya Ahmadieh-yazdi, is a medicare enrolled "Psychologist - Clinical" provider in Cupertino, California. His current practice location is 21250 Stevens Creek Blvd, Cupertino, California. You can reach out to his office (for appointments etc.) via phone at (408) 864-5511.

Puya Ahmadieh-yazdi is licensed to practice in California (license number 35090) 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 1801530167.

Contact Information

	Puya Ahmadieh-yazdi,
	21250 Stevens Creek Blvd, Cupertino, CA 95014-5797
	(408) 864-5511
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Puya Ahmadieh-yazdi
Gender	Male
Speciality	Psychologist - Clinical
Location	21250 Stevens Creek Blvd, Cupertino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801530167
Provider Enumeration Date: 04/22/2022
Last Update Date: 05/11/2026

Medicare PECOS Information:

PECOS PAC ID: 0547798589
Enrollment ID: I20250103002935

Medical Identifiers

Medical identifiers for Puya Ahmadieh-yazdi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801530167	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	35090 (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. Puya Ahmadieh-yazdi allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Puya Ahmadieh-yazdi 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
Puya Ahmadieh-yazdi, 2010 El Camino Real, Pmb 3057, Santa Clara, CA 95050 Ph: () -	Puya Ahmadieh-yazdi, 21250 Stevens Creek Blvd, Cupertino, CA 95014-5797 Ph: (408) 864-5511

Reviews and Comments

Psychologist in Cupertino, CA

Dr. Roger Johnson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 19000 Homestead Rd, Cupertino, CA 95014 Phone: 408-366-4408 Fax: 408-366-4405
Dr. Steven Aldo Del Chiaro, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20833 Stevens Creek Blvd Suite 100, Cupertino, CA 95014 Phone: 408-342-0160
Dr. Julia Beth Hadricky, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 19000 Homestead Rd, Cupertino, CA 95014 Phone: 813-382-4844
Priya Mahurkar, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 21760 Stevens Creek Blvd Ste 102, Cupertino, CA 95014 Phone: 408-230-4992
Ksenia Ryckman, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 19000 Homestead Rd, Cupertino, CA 95014 Phone: 408-366-4400
Dr. Catherine Mary Marino, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 19000 Homestead Rd, Building 2, Psychiatry Administration Suite, Cupertino, CA 95014 Phone: 650-283-9334
Dr. Martin Howard Williams, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 19000 Homestead Rd, Cupertino, CA 95014 Phone: 408-366-4409

Puya Ahmadieh-yazdi, - Medicare Psychologist in Cupertino, CA