DR. SHAGHAYEGH TAVASSOLI D.O.
NPI 1194841809
Family Medicine in Los Angeles, CA
About Dr. Shaghayegh Tavassoli D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHAGHAYEGH TAVASSOLI D.O. (NPI 1194841809) is an individual family medicine provider in Los Angeles, California, licensed in California (20A9861) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Shaghayegh Tavassoli D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show Shaghayegh Tavassoli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90048
- Reassigned Medicare billing, California enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90024
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 Shaghayegh Tavassoli's NPI number?
The NPI number for Shaghayegh Tavassoli is 1194841809. It was assigned to this individual provider in the NPPES registry on March 22, 2007.
Where is Shaghayegh Tavassoli located?
Shaghayegh Tavassoli practices at 10401 Wilshire Blvd #201, Los Angeles, CA 90024. The listed phone number is (310) 441-3931.
What is Shaghayegh Tavassoli's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shaghayegh Tavassoli enrolled in Medicare?
Yes. Shaghayegh Tavassoli 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.
Which organization bills Medicare for Shaghayegh Tavassoli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shaghayegh Tavassoli reassigns Medicare benefits to Beverly Hills Medical Institute Corporation (Los Angeles, 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 Shaghayegh Tavassoli'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 Shaghayegh Tavassoli was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Shaghayegh Tavassoli, D.O. · NPI 1194841809
Family Medicine physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 22, 2007.
## Identity
- **NPI:** 1194841809 (Entity type: Individual)
- **Enumerated:** March 22, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20A9861 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10401 WILSHIRE BLVD, #201, Los Angeles, CA 90024-4609
- **Phone:** (310) 441-3931 · **Fax:** (310) 441-0920
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Beverly Hills Medical Institute Corporation (NPI 1588234561, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1194841809) · Data from the CMS NPPES public registry.