SHIRIN KAZEMI
NPI 1093095358
Physician Assistant - Surgical in Los Angeles, CA

Active since August 18, 2011PECOS EnrolledAccepts Medicare Assignment
4760 W SUNSET BLVD, LOS ANGELES, CA 90027(800) 954-8000 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shirin Kazemi NPPES

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

SHIRIN KAZEMI (NPI 1093095358) is an individual surgical provider in Los Angeles, California, licensed in California (PA21867) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1093095358
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSHIRIN KAZEMI
Location Address4760 W SUNSET BLVDLos Angeles, CA 90027-6063
Mailing Address4760 W Sunset BlvdLos Angeles, CA 90027-6063
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 18, 2011
Last NPPES UpdateNovember 29, 2021
NPI 1093095358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · PA21867
4760 W SUNSET BLVD, Los Angeles, CA 90027

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shirin Kazemi 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 ID4587831540
PECOS Enrollment IDI20120117000285
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.

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.

Internal Medicine (Cardiovascular Disease)
4760 W SUNSET BLVD
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4760 W SUNSET BLVD, 3RD FLOOR
LOS ANGELES, CA 90027
Social Worker (Clinical)
4760 W SUNSET BLVD
LOS ANGELES, CA 90027
Surgery
4760 W SUNSET BLVD, 3RD FLOOR
LOS ANGELES, CA 90027
Ophthalmology
4760 W SUNSET BLVD
LOS ANGELES, CA 90027
Nurse Anesthetist, Certified Registered
4760 W SUNSET BLVD
LOS ANGELES, CA 90027
Health Maintenance Organization
4760 W SUNSET BLVD
LOS ANGELES, CA 90027
Emergency Medicine
4760 W SUNSET BLVD
LOS ANGELES, CA 90027

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 Shirin Kazemi's NPI number?

The NPI number for Shirin Kazemi is 1093095358. It was assigned to this individual provider in the NPPES registry on August 18, 2011.

Where is Shirin Kazemi located?

Shirin Kazemi practices at 4760 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (800) 954-8000.

What is Shirin Kazemi's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Shirin Kazemi enrolled in Medicare?

Yes. Shirin Kazemi 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.

When was this NPI record last updated?

The NPPES record for Shirin Kazemi was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.