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BOBBY PEZESHKI MD INC
NPI 1164999215
Clinic/Center - Multi-Specialty in Los Angeles, CA

Active since October 26, 2018CLIA 05D2165515 · Waiver
2011 WILSHIRE BLVD STE 300, LOS ANGELES, CA 90057(213) 413-2700(213) 413-6722 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 15, 2018, Oct 26, 2018 (2 updates tracked since 2018).

About Bobby Pezeshki Md Inc NPPES

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

BOBBY PEZESHKI MD INC (NPI 1164999215) is a healthcare organization registered as a multi-specialty in Los Angeles, California and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through April 29, 2027 and lists Babak Pezeshki, Ceo/medical Director, as its authorized official.

NPPES Registry Identity

NPI1164999215
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBOBBY PEZESHKI MD INC
Location Address2011 WILSHIRE BLVD STE 300Los Angeles, CA 90057-3503
Mailing Address2007 Wilshire Blvd Ste 300Los Angeles, CA 90057-3506 · (213) 413-2700 · Fax (213) 413-6722
Phone(213) 413-2700
Fax(213) 413-6722
Organization SubpartNo
Authorized OfficialBabak PezeshkiCeo/medical Director · (213) 413-2700
Enumeration DateOctober 26, 2018
Last NPPES UpdateNovember 15, 20182 updates tracked since enumeration
✔ NPI 1164999215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2011 WILSHIRE BLVD STE 300, Los Angeles, CA 90057
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bobby Pezeshki Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bobby Pezeshki MD Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Babak Pezeshki, MD, MPH
Internal Medicine
NPI 1710376926
2011 WILSHIRE BLVD
Los Angeles, CA 90057
(213) 413-2700
✔ PECOS✔ Accepts MedicareSame address
Nima Golzy, MD
Internal Medicine
NPI 1790149094
757 WESTWOOD PLZ STE 7501
Los Angeles, CA 90095
(310) 267-9643
✔ PECOS9.8 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2165515

Bobby Pezeshki, MD Inc Dba Centro Medico Macarthur Park · Los Angeles, CA
Active · expires Apr 29, 2027
CLIA Number05D2165515
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 30, 2025
Certificate Expiration DateApril 29, 2027
Laboratory DirectorBabak Pezeshki
Laboratory Phone(213) 413-2700
Laboratory LocationBobby Pezeshki, MD Inc Dba Centro Medico Macarthur Park2011 Wilshire Blvd Ste 826, Los Angeles, CA 90057
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Bobby Pezeshki MD Inc's NPI number?

The NPI number for Bobby Pezeshki MD Inc is 1164999215. It was assigned to this organization in the NPPES registry on October 26, 2018.

Where is Bobby Pezeshki MD Inc located?

Bobby Pezeshki MD Inc is located at 2011 Wilshire Blvd Ste 300, Los Angeles, CA 90057. The listed phone number is (213) 413-2700.

What is Bobby Pezeshki MD Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Bobby Pezeshki MD Inc enrolled in Medicare?

Yes. Bobby Pezeshki MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bobby Pezeshki MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Bobby Pezeshki MD Inc. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bobby Pezeshki MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2165515) is associated with this NPI, valid through April 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bobby Pezeshki MD Inc was last updated on November 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.