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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: November 01, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shahrzad Lalezari reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
0.1 mi
Health Maintenance Organization
5601 DE SOTO AVE
Woodland Hills, CA 91367
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1952333478 (818) 719-2000
Shahrzad Lalezari Do PC
16 mi
Family Medicine
4944 W PICO BLVD
Los Angeles, CA 90019
  • Reassigned Medicare billing, California enrollment
NPI 1861150948 (323) 939-5346

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Shahrzad Lalezari's NPI number?

The NPI number for Shahrzad Lalezari is 1336559038. It was assigned to this individual provider in the NPPES registry on May 2, 2014.

Where is Shahrzad Lalezari located?

Shahrzad Lalezari practices at 5602 De Soto Ave, Woodland Hills, CA 91367. The listed phone number is (310) 739-3428.

What is Shahrzad Lalezari's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shahrzad Lalezari enrolled in Medicare?

Yes. Shahrzad Lalezari is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shahrzad Lalezari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shahrzad Lalezari reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Woodland Hills, CA) and Shahrzad Lalezari Do PC (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 Shahrzad Lalezari'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 Shahrzad Lalezari was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.