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MICHAEL B. MORTAZIE, D.O. INC.
NPI 1316572183
Clinic/Center in Orange, CA

Active since March 11, 2020CLIA Certified · 2 labs
1506 E CHAPMAN AVE, ORANGE, CA 92866(714) 538-8556(714) 538-1082 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael B. Mortazie, D.o. Inc. NPPES

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

MICHAEL B. MORTAZIE, D.O. INC. (NPI 1316572183) is a healthcare organization registered as a clinic/center in Orange, California and active in the NPI registry since March 2020. The organization holds 2 active CLIA laboratory certificates and lists Michael Babak Mortazie, President, as its authorized official.

NPPES Registry Identity

NPI1316572183
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMICHAEL B. MORTAZIE, D.O. INC.
Location Address1506 E CHAPMAN AVEOrange, CA 92866-2231
Mailing Address1506 E Chapman AveOrange, CA 92866-2231 · (714) 538-8556 · Fax (714) 538-1082
Phone(714) 538-8556
Fax(714) 538-1082
Organization SubpartNo
Authorized OfficialMichael Babak MortaziePresident · (714) 538-8556
Enumeration DateMarch 11, 2020
NPPES CertifiedMarch 11, 2020
✔ NPI 1316572183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1506 E CHAPMAN AVE, Orange, CA 92866
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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)

Michael B. Mortazie, D.o. 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 Michael B. Mortazie, D.O. Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Mortazie, DO
Dermatology
NPI 1457616914
1506 E CHAPMAN AVE
Orange, CA 92866
(714) 538-8556
✔ 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.

CLIA Laboratory Certificates CMS CLIA 2

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 of Compliance 05D0678585

Michael B Mortazie Do Inc · Orange, CA
Active · expires Aug 27, 2027
CLIA Number05D0678585
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2025
Certificate Expiration DateAugust 27, 2027
Laboratory DirectorDr. Michael B. Mortazie
Laboratory Phone(714) 538-8556
Laboratory LocationMichael B Mortazie Do Inc1506 E Chapman Ave, Orange, CA 92866
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 05D2185459

Michael Mortazie Do · Orange, CA
Active · expires Sep 2, 2027
CLIA Number05D2185459
Laboratory TypePhysician Office
Certificate Effective DateSeptember 3, 2025
Certificate Expiration DateSeptember 2, 2027
Laboratory DirectorMichael B. Mortazie
Laboratory Phone(714) 538-8556
Laboratory LocationMichael Mortazie Do368 S Glassell St, Orange, CA 92866
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Michael B. Mortazie, D.O. Inc.'s NPI number?

The NPI number for Michael B. Mortazie, D.O. Inc. is 1316572183. It was assigned to this organization in the NPPES registry on March 11, 2020.

Where is Michael B. Mortazie, D.O. Inc. located?

Michael B. Mortazie, D.O. Inc. is located at 1506 E Chapman Ave, Orange, CA 92866. The listed phone number is (714) 538-8556.

What is Michael B. Mortazie, D.O. Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Michael B. Mortazie, D.O. Inc. enrolled in Medicare?

Yes. Michael B. Mortazie, D.O. Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michael B. Mortazie, D.O. Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Michael B. Mortazie, D.O. 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.

Does Michael B. Mortazie, D.O. Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Michael B. Mortazie, D.O. Inc. was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.