SHABNAM MORTAZAVI MD, MPH
NPI 1295154847
Radiology - Diagnostic Radiology in Los Angeles, CA
About Shabnam Mortazavi Md, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHABNAM MORTAZAVI MD, MPH (NPI 1295154847) is an individual diagnostic radiology provider in Los Angeles, California, licensed in California (A161296) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Monica, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Shabnam Mortazavi Md, Mph 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 Reassignments
3Medicare enrollment records show Shabnam Mortazavi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Santa Monica, CA 90405
- Reassigned Medicare billing, California enrollment
- 1,939 clinicians in this Medicare group
Los Angeles, CA 90034
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Los Angeles, CA 90059
- Reassigned Medicare billing, California enrollment
- 554 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Shabnam Mortazavi's NPI number?
The NPI number for Shabnam Mortazavi is 1295154847. It was assigned to this individual provider in the NPPES registry on April 10, 2014.
Where is Shabnam Mortazavi located?
Shabnam Mortazavi practices at 757 Westwood Plz Ste 1638, Los Angeles, CA 90095. The listed phone number is (310) 267-8796.
What is Shabnam Mortazavi's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Shabnam Mortazavi enrolled in Medicare?
Yes. Shabnam Mortazavi 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 organizations bill Medicare for Shabnam Mortazavi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shabnam Mortazavi reassigns Medicare benefits to 3 organizations: County Of Los Angeles (Santa Monica, CA), Southern California Permanente Medical Group (Los Angeles, CA) and Martin Luther King Jr Community Medical Foundation (Los Angeles, CA). Each 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 Shabnam Mortazavi'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 Shabnam Mortazavi was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Shabnam Mortazavi, MD, MPH · NPI 1295154847
Diagnostic Radiology physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since April 10, 2014.
## Identity
- **NPI:** 1295154847 (Entity type: Individual)
- **Enumerated:** April 10, 2014
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** A161296 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 757 WESTWOOD PLZ STE 1638, Los Angeles, CA 90095-8358
- **Phone:** (310) 267-8796 · **Fax:** (310) 267-2059
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): County Of Los Angeles (NPI 1235323080, Santa Monica, CA); Southern California Permanente Medical Group (NPI 1043242563, Los Angeles, CA); Martin Luther King Jr Community Medical Foundation (NPI 1356899777, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** January 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1295154847) · Data from the CMS NPPES public registry.