DR. SHELBY SHANIA ESAMBOLCHI OD
NPI 1457931859
Optometrist in San Diego, CA
About Dr. Shelby Shania Esambolchi Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHELBY SHANIA ESAMBOLCHI OD (NPI 1457931859) is an individual optometrist in San Diego, California, licensed in California (34795) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Shelby Shania Esambolchi Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shelby Esambolchi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lake Forest, CA 92630
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Hansra Optometric Corporation
- 34 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shelby Esambolchi's NPI number?
The NPI number for Shelby Esambolchi is 1457931859. It was assigned to this individual provider in the NPPES registry on April 9, 2021.
Where is Shelby Esambolchi located?
Shelby Esambolchi practices at 12925 El Camino Real, San Diego, CA 92130. The listed phone number is (858) 633-0772.
What is Shelby Esambolchi's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Shelby Esambolchi enrolled in Medicare?
Yes. Shelby Esambolchi is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shelby Esambolchi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Esambolchi reassigns Medicare benefits to Tedder Optometric Corporation, PC (Lake Forest, CA). The 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 Shelby Esambolchi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shelby Esambolchi accept?
Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Shelby Esambolchi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shelby Esambolchi was last updated on April 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Shelby Shania Esambolchi, OD · NPI 1457931859
Optometrist provider in San Diego, California. Individual provider, active in the CMS NPPES registry since April 9, 2021.
## Identity
- **NPI:** 1457931859 (Entity type: Individual)
- **Enumerated:** April 9, 2021
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 34795 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 12925 EL CAMINO REAL, San Diego, CA 92130-1891
- **Phone:** (858) 633-0772
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Tedder Optometric Corporation, PC (NPI 1679262158, Lake Forest, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1457931859) · Data from the CMS NPPES public registry.