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MAJID SHAHBAZ MD INC
NPI 1295839934
Internal Medicine - Geriatric Medicine in San Diego, CA

Active since September 12, 2006CLIA 05D0924971 · Microscopy
5555 RESERVOIR DR, # 312, SAN DIEGO, CA 92120(619) 583-1174(619) 583-4609 Get Directions Write a Review

NPPES record last updated: December 10, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Majid Shahbaz Md Inc NPPES

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

MAJID SHAHBAZ MD INC (NPI 1295839934) is a healthcare organization registered as a geriatric medicine in San Diego, California and active in the NPI registry since September 2006. The organization holds a CLIA Microscopy certificate valid through February 11, 2027 and lists Majid Shahbaz, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1295839934
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameMAJID SHAHBAZ MD INC
Location Address5555 RESERVOIR DR, # 312San Diego, CA 92120-5134
Mailing Address5555 Reservoir Drive Suite 312San Diego, CA 92120 · (619) 583-1174 · Fax (619) 583-4609
Phone(619) 583-1174
Fax(619) 583-4609
Organization SubpartNo
Authorized OfficialMajid ShahbazMedical Doctor · (619) 583-1174
Enumeration DateSeptember 12, 2006
Last NPPES UpdateDecember 10, 2012
✔ NPI 1295839934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
5555 RESERVOIR DR, San Diego, CA 92120
Open in Google Maps ↗

Other Identifiers 3

Medicaid00A504020CA
Medicare ID-Type UnspecifiedA50402CA
Medicare UPINF50703

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Majid Shahbaz MD Inc, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Chelsea Provenzano, MSN, FNP- C
Nurse Practitioner
NPI 1033631700
8851 CENTER DR STE 408
La Mesa, CA 91942
(619) 583-1174
✔ PECOS2.9 mi
Laura Adams, DNP, FNP-C, CPNP-PC
Nurse Practitioner
NPI 1003753963
8851 CENTER DR STE 408
La Mesa, CA 91942
(619) 583-1174
✔ PECOS2.9 mi
Kelly Glas, FNP-C
Nurse Practitioner
NPI 1790410033
8851 CENTER DR STE 408
La Mesa, CA 91942
(619) 583-1174
✔ PECOS2.9 mi
Rhealynn Nofuente, FNP-C
Nurse Practitioner
NPI 1902279599
8851 CENTER DR #408
La Mesa, CA 91942
(619) 583-1174
✔ PECOS2.9 mi
Coral Roseberry, DNP, FNP, AGNP
Nurse Practitioner
NPI 1255012860
8851 CENTER DR STE 408
La Mesa, CA 91942
(619) 583-1174
✔ PECOS2.9 mi
Majid Shahbaz, M.D.
Internal Medicine
NPI 1790966018
8851 CENTER DR SUITE 408
La Mesa, CA 91942
(619) 583-1174
✔ PECOS✔ Accepts Medicare2.9 mi
Jandark Yuseif, M.D.
Internal Medicine
NPI 1114361284
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts Medicare6.4 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 for Provider-Performed Microscopy Procedures (PPMP) 05D0924971

Majid Shahbaz MD · La Mesa, CA
Active · expires Feb 11, 2027
CLIA Number05D0924971
Laboratory TypePhysician Office
Certificate Effective DateFebruary 12, 2025
Certificate Expiration DateFebruary 11, 2027
Laboratory DirectorMajid Shahbaz
Laboratory Phone(619) 583-1174
Laboratory LocationMajid Shahbaz MD8851 Center Dr Ste 408, La Mesa, CA 91942
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Majid Shahbaz MD Inc's NPI number?

The NPI number for Majid Shahbaz MD Inc is 1295839934. It was assigned to this organization in the NPPES registry on September 12, 2006.

Where is Majid Shahbaz MD Inc located?

Majid Shahbaz MD Inc is located at 5555 Reservoir Dr # 312, San Diego, CA 92120. The listed phone number is (619) 583-1174.

What is Majid Shahbaz MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Majid Shahbaz MD Inc enrolled in Medicare?

Yes. Majid Shahbaz MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Majid Shahbaz MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Majid Shahbaz 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. The largest specialties are Nurse Practitioner (5) and Internal Medicine (2). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Majid Shahbaz MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0924971) is associated with this NPI, valid through February 11, 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 Majid Shahbaz MD Inc was last updated on December 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.