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BAKHTIAR MOUSSAZADEH MD
NPI 1043530660
Anesthesiology - Pain Medicine in Tarzana, CA

Active since June 04, 2010PECOS Enrolled
5620 WILBUR AVE STE 305, TARZANA, CA 91356(818) 578-5326(951) 272-9924 Get Directions Write a Review

NPPES record last updated: February 16, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bakhtiar Moussazadeh Md NPPES

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

BAKHTIAR MOUSSAZADEH MD (NPI 1043530660) is an individual pain medicine provider in Tarzana, California, licensed in California (A108651) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043530660
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameBAKHTIAR MOUSSAZADEHCredential: MD
Location Address5620 WILBUR AVE STE 305Tarzana, CA 91356-1311
Mailing AddressPo Box 77790Corona, CA 92877-0126 · (800) 626-2468 · Fax (951) 272-9924
Phone(818) 578-5326
Fax(951) 272-9924
Sole ProprietorYes
Enumeration DateJune 4, 2010
Last NPPES UpdateFebruary 16, 2018
✔ NPI 1043530660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in CA · A108651
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
5620 WILBUR AVE STE 305, Tarzana, CA 91356
Open in Google Maps ↗

Other Identifiers 1

OtherA108651CA · Medical License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bakhtiar Moussazadeh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Bakhtiar Moussazadeh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

La Medical Clinic Inc
16 mi
Primary Care
501 W GLENOAKS BLVD STE 200
Glendale, CA 91202
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1790242758 (818) 696-2156

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

TARZANA AMBULATORY SURGICAL INSTITUTE
Clinic/Center (Ambulatory Surgical)
5620 WILBUR AVE STE 305
TARZANA, CA 91356
Los Angeles County (818) 791-1398
B MOUSSAZADEH A MEDICAL CORPORATION
Anesthesiology (Pain Medicine)
5620 WILBUR AVE STE 305
TARZANA, CA 91356
Los Angeles County (818) 588-4741

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 Bakhtiar Moussazadeh's NPI number?

The NPI number for Bakhtiar Moussazadeh is 1043530660. It was assigned to this individual provider in the NPPES registry on June 4, 2010.

Where is Bakhtiar Moussazadeh located?

Bakhtiar Moussazadeh practices at 5620 Wilbur Ave Ste 305, Tarzana, CA 91356. The listed phone number is (818) 578-5326.

What is Bakhtiar Moussazadeh's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Bakhtiar Moussazadeh enrolled in Medicare?

Yes. Bakhtiar Moussazadeh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bakhtiar Moussazadeh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bakhtiar Moussazadeh reassigns Medicare benefits to La Medical Clinic Inc (Glendale, CA). 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 Bakhtiar Moussazadeh'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 Bakhtiar Moussazadeh was last updated on February 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.