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MR. MANOUCHEHR SEYFZADEH M.D., PH.D.
NPI 1306895974
Dermatology in Corona, CA

Active since May 09, 2006PECOS EnrolledAccepts Medicare Assignment
1820 FULLERTON AVENUE, STE 360, CORONA, CA 92881(951) 270-4494(951) 270-4495 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 10, 2025, Aug 6, 2024 (2 updates tracked since 2024).

About Mr. Manouchehr Seyfzadeh M.d., Ph.d. NPPES

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

MR. MANOUCHEHR SEYFZADEH M.D., PH.D. (NPI 1306895974) is an individual dermatology provider in Corona, California, licensed in California (A062453) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Marys - Detroit Lakes, and maintains a secondary practice location in Riverside.

NPPES Registry Identity

NPI1306895974
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameMR. MANOUCHEHR SEYFZADEHCredential: M.D., PH.D.
Location Address1820 FULLERTON AVENUE, STE 360Corona, CA 92881-3106
Mailing Address25422 Trabuco Rd Ste 105-333Lake Forest, CA 92630-2791 · (949) 855-4439 · Fax (888) 978-2187
Phone(951) 270-4494
Fax(951) 270-4495
Sole ProprietorYes
Medical School CMSUn Of California, Irvine, College Of MedicineGraduated 1995
Enumeration DateMay 9, 2006
Last NPPES UpdateJuly 30, 20252 updates tracked since enumeration
NPPES CertifiedJuly 30, 2025
✔ NPI 1306895974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · A062453
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1820 FULLERTON AVENUE, Corona, CA 92881
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Secondary Practice Location 1

Location 17160 Brockton AveRiverside, CA 92506-2620 · Phone (951) 782-3837 · Fax (951) 328-9758

Other Identifiers 1

OtherWA62453BCA · Ppin

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

Mr. Manouchehr Seyfzadeh M.d., Ph.d. 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.

PECOS PAC ID9133100522
PECOS Enrollment IDI20040601000674, I20110214000610, I20250609002747
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Manouchehr Seyfzadeh reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mpz Dermatology
Same address
Dermatology
1820 FULLERTON AVE STE 360
Corona, CA 92881
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1790516623 (951) 270-4494
Riverside Medical Clinic, Inc
8.1 mi
Family Medicine
12742 LIMONITE AVE
Eastvale, CA 92880
  • Reassigned Medicare billing, California enrollment
  • 349 clinicians in this Medicare group
NPI 1972845535 (951) 683-6370
St. Mary's Regional Health Center
1,427 mi
Rural Health
301 N BROADWAY
Pelican Rapids, MN 56572
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: St Marys Regional Health Center
  • 254 clinicians in this Medicare group
NPI 1265876023 (218) 863-2000

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 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
91 services51 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services22 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
23 services17 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
15 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health St Marys - Detroit Lakes

Acute Care Hospitals · Detroit Lakes, MN
OwnershipVoluntary non-profit - Church
CMS Certification Number240101
Location1027 Washington AveDetroit Lakes, MN 56501 · Becker County
Birthing friendly

Essentia Health

Acute Care Hospitals · Fargo, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350070
Location3000 32nd Ave SouthFargo, ND 58104 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92881 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Manouchehr Seyfzadeh's NPI number?

The NPI number for Manouchehr Seyfzadeh is 1306895974. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Manouchehr Seyfzadeh located?

Manouchehr Seyfzadeh practices at 1820 Fullerton Avenue Ste 360, Corona, CA 92881. The listed phone number is (951) 270-4494.

What is Manouchehr Seyfzadeh's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Manouchehr Seyfzadeh enrolled in Medicare?

Yes. Manouchehr Seyfzadeh 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 Manouchehr Seyfzadeh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manouchehr Seyfzadeh reassigns Medicare benefits to 3 organizations: Mpz Dermatology (Corona, CA), Riverside Medical Clinic, Inc (Eastvale, CA) and St. Mary's Regional Health Center (Pelican Rapids, MN). 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 Manouchehr Seyfzadeh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Manouchehr Seyfzadeh affiliated with any hospitals?

According to CMS data, Manouchehr Seyfzadeh is affiliated with Essentia Health St Marys - Detroit Lakes and Essentia Health.

When was this NPI record last updated?

The NPPES record for Manouchehr Seyfzadeh was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.