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ETHAN YOUSSEFZADEH DO
NPI 1144951260
Family Medicine in Culver City, CA

Active since June 20, 2022PECOS EnrolledAccepts Medicare Assignment
10100 CULVER BLVD STE A, CULVER CITY, CA 90232(310) 423-3333 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Youssefzadeh Do NPPES

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

ETHAN YOUSSEFZADEH DO (NPI 1144951260) is an individual family medicine provider in Culver City, California, licensed in California (20A21948) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1144951260
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameETHAN YOUSSEFZADEHCredential: DO
Location Address10100 CULVER BLVD STE ACulver City, CA 90232-3174
Mailing Address4140 W 190th StTorrance, CA 90504-5513
Phone(310) 423-3333
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 20, 2022
Last NPPES UpdateJuly 1, 2025
NPPES CertifiedJuly 1, 2025
✔ NPI 1144951260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A21948
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10100 CULVER BLVD STE A, Culver City, CA 90232
Open in Google Maps ↗

Secondary Practice Location 1

Location 11720 E Cesar E Chavez AveLos Angeles, CA 90033-2414 · Phone (323) 226-1100

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

Ethan Youssefzadeh Do 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 ID8628417581
PECOS Enrollment IDI20250812004365
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90232 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

ESTHER AHN
Internal Medicine
10100 CULVER BLVD STE A
CULVER CITY, CA 90232
Los Angeles County (310) 423-5555
NABEEHA SIDDIQUI MD
Family Medicine
10100 CULVER BLVD STE A
CULVER CITY, CA 90232
Los Angeles County (424) 315-1082
CAMILLE RENEE RAINER
Internal Medicine
10100 CULVER BLVD STE A
CULVER CITY, CA 90232
Los Angeles County (310) 423-5555

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 Ethan Youssefzadeh's NPI number?

The NPI number for Ethan Youssefzadeh is 1144951260. It was assigned to this individual provider in the NPPES registry on June 20, 2022.

Where is Ethan Youssefzadeh located?

Ethan Youssefzadeh practices at 10100 Culver Blvd Ste A, Culver City, CA 90232. The listed phone number is (310) 423-3333.

What is Ethan Youssefzadeh's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ethan Youssefzadeh enrolled in Medicare?

Yes. Ethan Youssefzadeh 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 Ethan Youssefzadeh was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.