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FARIBORZ LALEZARZADEH DO INC
NPI 1285963124
Surgery in San Bernardino, CA

Active since December 23, 2009
164 W HOSPITALITY LN STE 100, SAN BERNARDINO, CA 92408(909) 883-8834(909) 644-4021 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 8, 2022, Jun 5, 2019 (2 updates tracked since 2019).

About Fariborz Lalezarzadeh Do Inc NPPES

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

FARIBORZ LALEZARZADEH DO INC (NPI 1285963124) is a healthcare organization registered as a surgery in San Bernardino, California and active in the NPI registry since December 2009. The organization lists Fariborz Lalezarzadeh, President, as its authorized official.

NPPES Registry Identity

NPI1285963124
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameFARIBORZ LALEZARZADEH DO INC
Location Address164 W HOSPITALITY LN STE 100San Bernardino, CA 92408-3316
Mailing Address700 E Redlands Blvd Ste U506Redlands, CA 92373-6109 · (909) 883-8834 · Fax (909) 883-8834
Phone(909) 883-8834
Fax(909) 644-4021
Organization SubpartNo
Authorized OfficialFariborz LalezarzadehPresident · (909) 883-8834
Enumeration DateDecember 23, 2009
Last NPPES UpdateNovember 8, 20222 updates tracked since enumeration
NPPES CertifiedNovember 8, 2022
✔ NPI 1285963124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X · License 20A8309 (CA)
164 W HOSPITALITY LN STE 100, San Bernardino, CA 92408
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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)

Fariborz Lalezarzadeh Do Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fariborz Lalezarzadeh Do Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Fariborz Lalezarzadeh, DO
General Surgery
NPI 1811004625
164 W HOSPITALITY LN STE 100
San Bernardino, CA 92408
(909) 883-8834
✔ PECOS✔ Accepts MedicareSame address

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

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 Fariborz Lalezarzadeh Do Inc's NPI number?

The NPI number for Fariborz Lalezarzadeh Do Inc is 1285963124. It was assigned to this organization in the NPPES registry on December 23, 2009.

Where is Fariborz Lalezarzadeh Do Inc located?

Fariborz Lalezarzadeh Do Inc is located at 164 W Hospitality Ln Ste 100, San Bernardino, CA 92408. The listed phone number is (909) 883-8834.

What is Fariborz Lalezarzadeh Do Inc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Fariborz Lalezarzadeh Do Inc enrolled in Medicare?

Yes. Fariborz Lalezarzadeh Do Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fariborz Lalezarzadeh Do Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Fariborz Lalezarzadeh Do 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fariborz Lalezarzadeh Do Inc was last updated on November 8, 2022. 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.