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DR. SHAHRZAD LALEZARI D.O.
NPI 1336559038
Student in an Organized Health Care Education/Training Program in Woodland Hills, CA

Active since May 02, 2014PECOS Enrolled
5602 DE SOTO AVE, WOODLAND HILLS, CA 91367(310) 739-3428 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 17, 2021, Dec 22, 2015 (2 updates tracked since 2015).

About Dr. Shahrzad Lalezari D.o. NPPES

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

DR. SHAHRZAD LALEZARI D.O. (NPI 1336559038) is an individual student in an organized health care education/training program in Woodland Hills, California, licensed in California (20A14349) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336559038
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SHAHRZAD LALEZARICredential: D.O.
Location Address5602 DE SOTO AVEWoodland Hills, CA 91367
Mailing Address5602 De Soto AveWoodland Hills, CA 91367
Phone(310) 739-3428
Sole ProprietorNo
Enumeration DateMay 2, 2014
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
✔ NPI 1336559038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CA · 20A14349
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5602 DE SOTO AVE, Woodland Hills, CA 91367
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shahrzad Lalezari D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Frequently Asked Questions

What is Shahrzad Lalezari's NPI number?

The NPI number assigned to this healthcare provider is 1336559038, enumerated as an "individual" on May 02, 2014.

Where is the provider located?

The provider is located at 5602 DE SOTO AVE WOODLAND HILLS, CA 91367 and the phone number is (310) 739-3428.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.